Northwest La Incs, Llc in Shreveport - Point Of Service
Northwest La Incs, Llc - NPI 1700901683
Northwest La Incs, Llc is a Point Of Service in Shreveport, Louisiana. Northwest La Incs, Llc practices all healthcare services and medical treatments related to Point Of Service. The NPI Number for Northwest La Incs, Llc is 1700901683. The last update date is 2020-08-22.
Northwest La Incs, Llc's current location address is 4111 Metro Dr, Shreveport, Louisiana. You can contact this provider via phone number 3186360390 and fax number 3186353298. The mailing address for Northwest La Incs, Llc is 4111 Metro Dr, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northwest La Incs, Llc |
|---|---|
| Address | 4111 Metro Dr, Shreveport, Louisiana |
| Phone Number | 3186360390 |
| Fax Number | 3186353298 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | REGIONAL C |
|---|---|
| Authorized Official Name | Parker S Cindy |
| Credentials | R.N. |
| Telephone Number | 3186360390 |
NPI Number Detail
| NPI Number | 1700901683 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4111 Metro Dr |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711096001 |
| Phone Number | 3186360390 |
| Fax Number | 3186353298 |
Provider's Primary Taxonomy Detail
| Speciality | Point Of Service |
|---|---|
| Taxonomy | 305S00000X |
| Licence No | 11761 |
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Definition: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1119407 | LA | -- |
Post Comment/ Review Below
What is the Northwest La Incs, Llc's unique identification number?
The Northwest La Incs, Llc has been assigned the NPI (National Provider Identifier) Number 1700901683 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 address where Northwest La Incs, Llc is physically located?
The Northwest La Incs, Llc is situated at the following address: 4111 Metro Dr, Shreveport, LA 711096001.
What is the Northwest La Incs, Llc's specialty and taxonomy code?
The Northwest La Incs, Llc's specialty is Point Of Service, and the corresponding taxonomy code is 305S00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700901683 to Northwest La Incs, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1700901683 to Northwest La Incs, Llc on 2007-03-20.
As of what date were the details related to Northwest La Incs, Llc most recently updated or revised?
The information pertaining to Northwest La Incs, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.