SURGICAL SPECIALTY CENTER LLC NPI 1316970916

NPI Information

NPI: 1316970916
Provider Name: SURGICAL SPECIALTY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1500 LINE AVE
SUITE 204
SHREVEPORT, LA
ZIP 71101
Phone: (318) 629-5001
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SURGICAL SPECIALTY CENTER, LLC is an ambulatory surgical clinic center in Shreveport, LA. SURGICAL SPECIALTY CENTER, LLC NPI is 1316970916. The provider is registered as an organization entity type.

The provider's business location address is:

1500 LINE AVE
SUITE 204
SHREVEPORT, LA
ZIP 71101-639
Phone: (318) 629-5001
Fax: (318) 629-5020

The provider's authorized official is Kandi R Moore .
The authorized official title is Administrator and has the following contact phone number (318) 631-2525.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 3/31/2008.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	80	LOUISIANA	Yes

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
1	11066	MEDICARE ID-TYPE UNSPECIFIED	LOUISIANA
2	1478334	MEDICAID	LOUISIANA

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

NPI Synchronization or Removal

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