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Contact Information

PEDIATRIA HEALTHCARE, LLC
385 BERT KOUNS INDUSTRIAL LOOP
SUITE 600
SHREVEPORT, LA71106-8158
 Phone: 318-415-7625
 Fax: 318-415-7630
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medically Fragile Infants and Children Day Care

261QM3000X
Indicates primary specialty

NPI Profile & details for PEDIATRIA HEALTHCARE, LLC

NPI Number 1922409069
LBN Legal business name PEDIATRIA HEALTHCARE, LLC
Authorized official MATTHEW BUCKHALTER - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/09/2014
Last updated 01/27/2025 - 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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