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AMBULATORY SURGERY CENTER OF LOUISIANA NPI 1144491614


NPI Information

NPI: 1144491614
Provider Name: AMBULATORY SURGERY CENTER OF LOUISIANA

Doing Business As: OUTPATIENT SURGERY CENTER AT THE VILLAGES OF BURT KOUNS

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
385 BERT KOUNS INDUSTRIAL LOOP
BLDG 300
SHREVEPORT, LA
ZIP 71106
Phone: (318) 212-0552
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AMBULATORY SURGERY CENTER OF LOUISIANA is an ambulatory surgical clinic center in Shreveport, LA. AMBULATORY SURGERY CENTER OF LOUISIANA NPI is 1144491614. The provider is registered as an organization entity type.
The provider Is Doing Business As Outpatient Surgery Center At The Villages Of Burt Kouns.

The provider's business location address is:

385 BERT KOUNS INDUSTRIAL LOOP
BLDG 300
SHREVEPORT, LA
ZIP 71106-124
Phone: (318) 212-0552
Fax: (318) 212-0557

The provider's authorized official is Janna L Cruey .
The authorized official title is Administrator and has the following contact phone number (318) 212-0552.

The enumeration date for this NPI number is 3/12/2008 and was last updated on 5/14/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical164LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
115026MEDICARE PINLOUISIANA
2=========OTHERLOUISIANAEIN
319C0001119MEDICARE UPINLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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