# ALEXANDRIA VA HEALTH CARE SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235535329
- **Authorized official:** RICKY W LOVE (FACILITY REVENUE MANAGER)
- **Authorized official phone:** (318) 466-2861

## Contact information

- **Practice address:** 2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
- **Practice address phone:** (318) 466-2861
- **Practice address fax:** (318) 483-5128
- **Mailing address:** 2495 SHREVEPORT HWY 71, PINEVILLE, LA 71360-9004
- **Mailing address phone:** (318) 466-2861
- **Mailing address fax:** (318) 483-5128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | LA | Yes |

## Other

- **Enumeration date:** 11/17/2014
- **Last updated:** 11/17/2014