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Organization
ALEXANDRIA VA HEALTH CARE SYSTEM
Active
Organization
ALEXANDRIA VA HEALTH CARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICKY W LOVE (FACILITY REVENUE MANAGER)
(318) 466-2861
Entity
Organization
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 466-2861
(318) 483-5128
Mailing address
2495 SHREVEPORT HWY 71, PINEVILLE, LA 71360-9004
(318) 466-2861
(318) 483-5128
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
LA
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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