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Contact Information

CAPITOL CITY FAMILY HEALTH CENTER, INCORPORATED
8730 YOUREE DR STE A-B
SHREVEPORT, LA71115-2500
 Phone: 318-408-1505
 Fax: 318-408-1506
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for CAPITOL CITY FAMILY HEALTH CENTER, INCORPORATED

NPI Number 1962154542
LBN Legal business name CAPITOL CITY FAMILY HEALTH CENTER, INCORPORATED
Authorized official MATTHEW VALLIERE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/25/2022
Last updated 10/31/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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