Shenandoah Medical Associates, Llc in Baton Rouge - Non-pharmacy Dispensing Site

Shenandoah Medical Associates, Llc - NPI 1114025194

Shenandoah Medical Associates, Llc is a Non-pharmacy Dispensing Site in Baton Rouge, Louisiana. Shenandoah Medical Associates, Llc practices all healthcare services and medical treatments related to Non-pharmacy Dispensing Site. The NPI Number for Shenandoah Medical Associates, Llc is 1114025194. The last update date is 2014-02-26.

Shenandoah Medical Associates, Llc's current location address is 13828 Coursey Blvd, Baton Rouge, Louisiana. You can contact this provider via phone number 2257524530 and fax number 2257524652. The mailing address for Shenandoah Medical Associates, Llc is 13828 Coursey Blvd, Baton Rouge, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shenandoah Medical Associates, Llc
Address 13828 Coursey Blvd, Baton Rouge, Louisiana
Phone Number 2257524530
Fax Number 2257524652
Sole Proprietor --
Credentials --

Authorized Official

Title or Position LLC MEMBER
Authorized Official Name Ferrara Gregory
Telephone Number 2257524530

NPI Number Detail

NPI Number 1114025194
Provider Enumeration Date 2006-09-21
Last Updated Date 2014-02-26

Provider Mailing Address Detail

Address 13828 Coursey Blvd
City Baton Rouge
State Louisiana (LA)
Post Code 708171307
Phone Number 2257524530
Fax Number 2257524652

Provider's Primary Taxonomy Detail

Speciality Non-pharmacy Dispensing Site
Taxonomy 332900000X
Licence No 15137
Definition:
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1931802 OTHER ID NUMBER-COMMERCIAL NUM
1931802 OTHER ID NUMBER

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FAQs about Shenandoah Medical Associates, Llc

What is the unique 10-digit identification code assigned to Shenandoah Medical Associates, Llc by the Centers for Medicare & Medicaid Services?

The Shenandoah Medical Associates, Llc has been issued the NPI (National Provider Identifier) 1114025194, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Shenandoah Medical Associates, Llc is located?

The Shenandoah Medical Associates, Llc is situated at the following address: 13828 Coursey Blvd, Baton Rouge, LA, 708171307.

What is Shenandoah Medical Associates, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Shenandoah Medical Associates, Llc's area of specialization is Non-pharmacy Dispensing Site, and the corresponding taxonomy code that categorizes this field of practice is 332900000X.

On what date did Shenandoah Medical Associates, Llc receive its 1114025194 assignment from the Centers for Medicare & Medicaid Services?

The Shenandoah Medical Associates, Llc was assigned its 1114025194 on 2006-09-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Shenandoah Medical Associates, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Shenandoah Medical Associates, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-02-26.

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