St. Matthew'S Direct Care Service in Shreveport - Exclusive Provider Organization
St. Matthew'S Direct Care Service - NPI 1417113267
St. Matthew'S Direct Care Service is a Exclusive Provider Organization in Shreveport, Louisiana. St. Matthew'S Direct Care Service practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for St. Matthew'S Direct Care Service is 1417113267. The last update date is 2008-07-31.
St. Matthew'S Direct Care Service's current location address is 2620 Centenary Blvd, Shreveport, Louisiana. You can contact this provider via phone number 3182132273 and fax number 3182132275. The mailing address for St. Matthew'S Direct Care Service is 2620 Centenary Blvd, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St. Matthew'S Direct Care Service |
|---|---|
| Address | 2620 Centenary Blvd, Shreveport, Louisiana |
| Phone Number | 3182132273 |
| Fax Number | 3182132275 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF ADMI |
|---|---|
| Authorized Official Name | Sneed-Matthews V Rebecca |
| Telephone Number | 3182132273 |
NPI Number Detail
| NPI Number | 1417113267 |
|---|---|
| Provider Enumeration Date | 2008-07-31 |
| Last Updated Date | 2008-07-31 |
Provider Mailing Address Detail
| Address | 2620 Centenary Blvd |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711043356 |
| Phone Number | 3182132273 |
| Fax Number | 3182132275 |
Provider's Primary Taxonomy Detail
| Speciality | Exclusive Provider Organization |
|---|---|
| Taxonomy | 302F00000X |
| Licence No | 20081 |
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Definition: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20081 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to St. Matthew'S Direct Care Service by the Centers for Medicare & Medicaid Services?
The St. Matthew'S Direct Care Service has been assigned the NPI (National Provider Identifier) 1417113267 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where St. Matthew'S Direct Care Service is physically located?
The St. Matthew'S Direct Care Service is situated at the following address: 2620 Centenary Blvd, Shreveport, LA 711043356.
What is St. Matthew'S Direct Care Service's specialized field of practice, and what is the corresponding taxonomy classification code?
The St. Matthew'S Direct Care Service's area of specialization is Exclusive Provider Organization, and the corresponding taxonomy code that categorizes this field of practice is 302F00000X.
When did St. Matthew'S Direct Care Service receive its 1417113267 assignment?
The St. Matthew'S Direct Care Service was assigned its 1417113267 on 2008-07-31, which is the date when this unique identifier was issued to the organization.
As of what date were the St. Matthew'S Direct Care Service's details last updated?
The information pertaining to the St. Matthew'S Direct Care Service, including its address, specialty, and other details, was most recently updated on 2008-07-31.