| Shreveport Doctors' Hospital | |
|
1130 Louisiana Ave Shreveport LA 71101-3908 | |
| (318) 227-1211 | |
| Not Available |
| Full Name | Shreveport Doctors' Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1130 Louisiana Ave, Shreveport, Louisiana |
| Authorized Official Name and Position | Brian Kirk (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3186784206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shreveport Doctors' Hospital Po Box 676689 Dallas TX 75267-6689 Ph: (972) 705-5134 | Shreveport Doctors' Hospital 1130 Louisiana Ave Shreveport LA 71101-3908 Ph: (318) 227-1211 |
| NPI Number | 1629279468 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629279468 | NPI | - | NPPES |
| 1749150 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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