| Brentwood Hospital | |
|
1006 Highland Ave Shreveport LA 71101 | |
| (318) 678-7500 | |
| (318) 227-9296 |
| Full Name | Brentwood Hospital |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 1006 Highland Ave, Shreveport, Louisiana |
| Authorized Official Name and Position | Steve Filton (VICE PRESIDENT) |
| Authorized Official Contact | 6107683300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brentwood Hospital 1006 Highland Ave Shreveport LA 71101 Ph: (318) 678-7500 | Brentwood Hospital 1006 Highland Ave Shreveport LA 71101 Ph: (318) 678-7500 |
| NPI Number | 1417979204 |
|---|---|
| Provider Enumeration Date | 07/24/2006 |
| Last Update Date | 01/03/2022 |
| Certification Date | 01/03/2022 |
| Medicare PECOS PAC ID | 1951379312 |
|---|---|
| Medicare Enrollment ID | O20080227000200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417979204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 283Q00000X | Psychiatric Hospital | 529 (Louisiana) | Primary |
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