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Contact Information

COMPLETE VITAL CARE, INC.
2530 BERT KOUNS INDUSTRIAL LOOP
STE 116
SHREVEPORT, LA71118-3132
 Phone: 318-686-9995
 Fax: 318-686-9997
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mail Order Pharmacy

3336M0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for COMPLETE VITAL CARE, INC.

NPI Number 1790799591
LBN Legal business name COMPLETE VITAL CARE, INC.
Authorized official GEORGE GARDINER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/28/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
LA License # 4863 IR
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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