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Organization
SIMBA VENTURES HOSPITAL LA, LLC
Active
Organization
SIMBA VENTURES HOSPITAL LA, LLC
Active
Other names
Doctors' Hospital Shreveport
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK R. PFEIL (CHEIF FINANCIAL OFFICER)
(972) 265-3115
Entity
Organization
Contact information
Practice address
1130 LOUISIANA AVE, SHREVEPORT, LA 71101-3908
(318) 227-1211
(318) 678-4112
Mailing address
1130 LOUISIANA AVE, SHREVEPORT, LA 71101-3908
(318) 227-1211
(318) 678-4112
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1749150
—
TX
01
—
60652
BLUE CROSS
LA
Enumeration date
08/05/2007
Last updated
06/02/2008
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