institution
Powell Medical Center Minististries Inc
Point of Service in Shreveport, Louisiana
NPI 1437216710

Powell Medical Center Minististries Inc is a Point of Service based in Shreveport, LA. Powell Medical Center Minististries Inc practices in Shreveport, LA. The NPI Number for Powell Medical Center Minististries Inc is 1437216710 and holds a License No. L012949 (Louisiana).

The current practice location address for Powell Medical Center Minististries Inc is 515 Pierre Ave, Shreveport, LA and can be reached out via phone at 318-221-4471 and via fax at 318-221-4913.

Location: 515 Pierre Ave, Shreveport, LA, 71101-2445
institution
Provider Profile Details
NPI Number
1437216710
Provider Name
Powell Medical Center Minististries Inc
Credential
Provider Entity Type
Organization
Address
515 Pierre Ave, Shreveport, LA, 71101-2445
Phone Number
318-221-4471
Fax Number
318-221-4913
Provider Enumeration Date
01/03/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1140376 05 LA
institution
Provider Business Practice Location Address Details
Address
515 Pierre Ave
City
State
Zip
71101-2445
Phone Number
318-221-4471
Fax Number
318-221-4913
person
Provider Business Mailing Address Details
Address
515 Pierre Ave
City
State
Zip
71101-2445
Phone Number
318-221-4471
Fax Number
318-221-4913
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
License No.
L012949 (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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