Mainstream Health, Llc in Shreveport - Primary Care
Mainstream Health, Llc - NPI 1639349491
Mainstream Health, Llc is a Primary Care in Shreveport, Louisiana. Mainstream Health, Llc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Mainstream Health, Llc is 1639349491. The last update date is 2008-06-11.
Mainstream Health, Llc's current location address is 5930 Mansfield Rd, Shreveport, Louisiana. You can contact this provider via phone number 3186361717 and fax number 3186361718. The mailing address for Mainstream Health, Llc is 5930 Mansfield Rd, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mainstream Health, Llc |
|---|---|
| Address | 5930 Mansfield Rd, Shreveport, Louisiana |
| Phone Number | 3186361717 |
| Fax Number | 3186361718 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING M |
|---|---|
| Authorized Official Name | Dike Chidiadi |
| Credentials | M.D. |
| Telephone Number | 3186361717 |
NPI Number Detail
| NPI Number | 1639349491 |
|---|---|
| Provider Enumeration Date | 2008-03-08 |
| Last Updated Date | 2008-06-11 |
Provider Mailing Address Detail
| Address | 5930 Mansfield Rd |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711083816 |
| Phone Number | 3186361717 |
| Fax Number | 3186361718 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
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Definition: Serves as the first point of contact for comprehensive healthcare services. |
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What is the Mainstream Health, Llc's unique identification number?
The Mainstream Health, Llc has been assigned the NPI (National Provider Identifier) Number 1639349491 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Mainstream Health, Llc is located?
The Mainstream Health, Llc is situated at the following address: 5930 Mansfield Rd, Shreveport, LA, 711083816.
What is the Mainstream Health, Llc's area of specialization and corresponding taxonomy classification?
The Mainstream Health, Llc's specialty field is Primary Care, and it falls under the taxonomy code 261Qp2300X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639349491 to Mainstream Health, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1639349491 to Mainstream Health, Llc on 2008-03-08.
As of what date were the Mainstream Health, Llc's details last updated?
The information pertaining to the Mainstream Health, Llc, including its address, specialty, and other details, was most recently updated on 2008-06-11.