institution
Northwest La Incs, Llc
Point of Service in Shreveport, Louisiana
NPI 1023133808

Northwest La Incs, Llc is a Point of Service based in Shreveport, LA. Northwest La Incs, Llc practices in Shreveport, LA. The NPI Number for Northwest La Incs, Llc is 1023133808 and holds a License No. 11761 (Louisiana).

The current practice location address for Northwest La Incs, Llc is 4111 Metro Dr, Shreveport, LA and can be reached out via phone at 318-636-0390 and via fax at 318-635-3298.

Location: 4111 Metro Dr, Shreveport, LA, 71109-6001
institution
Provider Profile Details
NPI Number
1023133808
Provider Name
Northwest La Incs, Llc
Credential
Provider Entity Type
Organization
Address
4111 Metro Dr, Shreveport, LA, 71109-6001
Phone Number
318-636-0390
Fax Number
318-635-3298
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1106364 05 LA
institution
Provider Business Practice Location Address Details
Address
4111 Metro Dr
City
State
Zip
71109-6001
Phone Number
318-636-0390
Fax Number
318-635-3298
person
Provider Business Mailing Address Details
Address
4111 Metro Dr
City
State
Zip
71109-6001
Phone Number
318-636-0390
Fax Number
318-635-3298
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
License No.
11761 (Louisiana)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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