Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
SPECIALISTS HOSPITAL SHREVEPORT, LLC
Active
Organization
SPECIALISTS HOSPITAL SHREVEPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KANDI G. MOORE (CEO)
(318) 632-6083
Entity
Organization
Contact information
Practice address
1500 LINE AVENUE, SUITE 206, SHREVEPORT, LA 71101-4639
(318) 213-3800
(318) 213-3801
Mailing address
1500 LINE AVENUE, SUITE 206, SHREVEPORT, LA 71101-4639
(318) 213-3800
(318) 213-3801
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
626
LA
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1702439
—
LA
Enumeration date
07/31/2009
Last updated
05/06/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up