National Provider Identifier Database

SHRINERS HOSPITALS FOR CHILDREN
Children


Contact Information

SHRINERS HOSPITALS FOR CHILDREN
3100 SAMFORD AVE
SHREVEPORT, LA71103-4239
Phone: 318-222-5704
Fax: 318-424-7610
Website:
Specialty Taxonomy Code
* Children 282NC2000X

* Indicates primary specialty

NPI Profile & details for SHRINERS HOSPITALS FOR CHILDREN

NPI Number 1679617849
Legal business name
LBN
SHRINERS HOSPITALS FOR CHILDREN
Authorized official GARRY GREEN - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 02/19/2007
Last updated 03/07/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • LA License #: 179
  • AL Medicaid: 149229
  • AR Medicaid: 191748105
  • LA Medicaid: 2700031
  • MS Medicaid: 08155267
  • OK Medicaid: 200341270A
  • TX Medicaid: 3168429
  • LA Other: 179 HOSPITAL LICENSE NUMBER
  • LA Other: 258361 MEDICARE PART B (PTAN)

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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