Southern Rehab & Medical Center in Bossier City - Durable Medical Equipment & Medical Supplies
Southern Rehab & Medical Center - NPI 1861572794
Southern Rehab & Medical Center is a Durable Medical Equipment & Medical Supplies in Bossier City, Louisiana. Southern Rehab & Medical Center practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Southern Rehab & Medical Center is 1861572794. The last update date is 2013-06-27.
Southern Rehab & Medical Center's current location address is 2207 California Dr, Bossier City, Louisiana. You can contact this provider via phone number 3187476118. The mailing address for Southern Rehab & Medical Center is 2207 California Dr, Bossier City, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Rehab & Medical Center |
|---|---|
| Address | 2207 California Dr, Bossier City, Louisiana |
| Phone Number | 3187476118 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Leach James Kenneth |
| Telephone Number | 5044566844 |
NPI Number Detail
| NPI Number | 1861572794 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2013-06-27 |
Provider Mailing Address Detail
| Address | 2207 California Dr |
|---|---|
| City | Bossier City |
| State | Louisiana (LA) |
| Post Code | 711113571 |
| Phone Number | 3187476118 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
|
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| F7457 | LA | BLUE CROSS | |
| 1431478 | LA | -- |
Post Comment/ Review Below
What is the Southern Rehab & Medical Center's unique identification number?
The Southern Rehab & Medical Center has been assigned the NPI (National Provider Identifier) Number 1861572794 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Southern Rehab & Medical Center is geographically located?
The Southern Rehab & Medical Center is physically situated at the following location: 2207 California Dr, Bossier City, LA, 711113571.
What is Southern Rehab & Medical Center's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Southern Rehab & Medical Center's specialized field of practice is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code that categorizes this area of specialization is 332B00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1861572794 to Southern Rehab & Medical Center?
The Southern Rehab & Medical Center received its 1861572794 assignment from the Centers for Medicare & Medicaid Services on 2006-10-16.
As of what date were the details related to Southern Rehab & Medical Center most recently updated or revised?
The information pertaining to Southern Rehab & Medical Center, including its address, specialty, and other relevant details, was last updated or revised on 2013-06-27.
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