CAPITOL CITY FAMILY HEALTH CENTER INCORPORATED NPI 1962154542

NPI Information

CAPITOL CITY FAMILY HEALTH CENTER, INCORPORATED is a federally qualified health center (fqhc) clinic center in Shreveport, LA. CAPITOL CITY FAMILY HEALTH CENTER, INCORPORATED NPI is 1962154542. The provider is registered as an organization entity type.

The provider's business location address is:

8730 YOUREE DR STE A-B
SHREVEPORT, LA
ZIP 71115-500
Phone: (318) 408-1505
Fax: (318) 408-1506

The provider's authorized official is Matthew Valliere .
The authorized official title is Ceo and has the following contact phone number (225) 650-2026.

The enumeration date for this NPI number is 1/25/2022 and was last updated on 1/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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