institution
Shriners Hospitals For Children
Children's Hospital in Shreveport, Louisiana
NPI 1679617849

Shriners Hospitals For Children is a Children's Hospital based in Philadelphia, LA and is specialized in Children. Shriners Hospitals For Children practices in Shreveport, LA. The NPI Number for Shriners Hospitals For Children is 1679617849 and holds a License No. 179 (Louisiana).

The current practice location address for Shriners Hospitals For Children is 3100 Samford Ave, Shreveport, LA and can be reached out via phone at 318-222-5704 and via fax at 318-424-7610.

Location: 3100 Samford Ave, Shreveport, LA, 19178-7642
institution
Provider Profile Details
NPI Number
1679617849
Provider Name
Shriners Hospitals For Children
Credential
Provider Entity Type
Organization
Address
3100 Samford Ave, Shreveport, LA, 19178-7642
Phone Number
318-222-5704
Fax Number
318-424-7610
Provider Enumeration Date
02/19/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
149229 05 AL
258361 01 LA MEDICARE PART B (PTAN)
2700031 05 LA
200341270A 05 OK
191748105 05 AR
08155267 05 MS
3168429 05 TX
179 01 LA HOSPITAL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
3100 Samford Ave
City
State
Zip
71103-4239
Phone Number
318-222-5704
Fax Number
318-424-7610
person
Provider Business Mailing Address Details
Address
3100 Samford Ave
City
State
Zip
71103-4239
Phone Number
318-222-5704
Fax Number
318-424-7610
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
Children
Taxonomy
License No.
179 (Louisiana)
Definition
Definition to come...
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