SHRINERS HOSPITALS FOR CHILDREN; NPI #1679617849

Contact Information

SHRINERS HOSPITALS FOR CHILDREN

3100 SAMFORD AVE
SHREVEPORT, LA 71103-4239

Phone: 318-222-5704
Fax: 318-424-7610
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Children	282NC2000X	A0[7]	Hospital-Childrenâ€™s (PPS excluded)

Indicates primary specialty

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NPI Profile & details for SHRINERS HOSPITALS FOR CHILDREN

NPI Number 1679617849

LBN Legal business name SHRINERS HOSPITALS FOR CHILDREN

Authorized official GARRY GREEN - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/19/2007

Last updated 03/07/2014 - About 12 years ago

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 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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SHRINERS HOSPITALS FOR CHILDREN

Contact Information

Specialty

Children

NPI Profile & details for SHRINERS HOSPITALS FOR CHILDREN

Reviews for SHRINERS HOSPITALS FOR CHILDREN