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RED RIVER CENTER LLC

Nursing Facility Supplies

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Contact Information

RED RIVER CENTER LLC
4820 MEDICAL DR
BOSSIER CITY, LA  71112-4562
 Phone: 318-747-1857
 Fax: 318-741-1259
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Nursing Facility Supplies

 332BN1400X 87 All Other Suppliers
 

Parenteral & Enteral Nutrition

 332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for RED RIVER CENTER LLC

NPI Number 1275665887
LBN Legal business name RED RIVER CENTER LLC
Authorized official JAMES COLLINS - (N F ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/09/2007
Last updated 01/12/2009 - About 17 years ago
Identifiers
LA License # 5309510002
LA Medicaid 1620998
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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