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Contact Information

SOUTH SHREVE MEDICAL SUPPLIES, INC.
8520 BUSINESS PARK DR
SHREVEPORT, LA71105-5654
 Phone: 318-798-2648
 Fax: 318-798-3451
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for SOUTH SHREVE MEDICAL SUPPLIES, INC.

NPI Number 1619028917
LBN Legal business name SOUTH SHREVE MEDICAL SUPPLIES, INC.
Authorized official CHARLES MACEY - (CONTROLLER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/15/2007
Last updated 08/22/2020 - About 6 years 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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