Specialists Hospital Shreveport, Llc

Prosthetic & Orthotic Supplier Center | Prosthetic & Orthotic Supplier


  
1500 Line Avenue, Suite 206, Shreveport
Louisiana, 71101-4639

 318-213-3800     318-213-3801Maps & Directions
Specialists Hospital Shreveport, Llc is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Shreveport, Louisiana. It is situated at 1500 Line Avenue, Suite 206, Shreveport and its contact number is 318-213-3800. The authorized person of Specialists Hospital Shreveport, Llc is Mrs. Kandi G. Moore who is Ceo of the store and his/her contact number is 318-632-6083. Primary license number for Specialists Hospital Shreveport, Llc is 626 in Louisiana.
Specialists Hospital Shreveport, Llc is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.


Complete Center Profile:
Specialists Hospital Shreveport, Llc Center speciality, address, contact phone number and fax are as below. Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
Specialization: Prosthetic & Orthotic Supplier, Prosthetic & Orthotic Supplier
Address:1500 Line Avenue, Suite 206, Shreveport,
Louisiana, 71101-4639
Phone:318-213-3800
Fax:318-213-3801
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name: Mrs. Kandi G. Moore
Position: Ceo
Contact Number: 318-632-6083
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details for Specialists Hospital Shreveport, Llc center are as mentioned below.
NPI Number: 1104057694
NPI Enumeration Date: 31 Jul, 2009
NPI Last Update On: 06 May, 2011

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Specialists Hospital Shreveport, Llc are as mentioned below.
SpecializationLicense NumberStateStatus
626LouisianaPrimary
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1702439MedicaidLouisiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Specialists Hospital Shreveport, Llc
1500 Line Avenue, Suite 206
Shreveport, Louisiana
Zip: 71101-4639
Phone Number: 318-213-3800
Fax Number: 318-213-3801
Patients can reach Specialists Hospital Shreveport, Llc at 1500 Line Avenue, Suite 206, Shreveport, Louisiana or can call to book an appointment on 318-213-3800. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.

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