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Organization
CITY OF SHREVEPORT
Active
Organization
CITY OF SHREVEPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL BURNS YOUNG (BILLING MANAGER)
(318) 747-9977
Entity
Organization
Contact information
Practice address
505 TRAVIS ST, SHREVEPORT, LA 71101-3042
(318) 747-9977
(318) 747-9994
Mailing address
PO BOX 34500, SHREVEPORT, LA 71130-4500
(318) 747-9977
(318) 747-9994
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
16332
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1392278
—
LA
01
—
27751
BLUE CROSS BLUE SHIELD
LA
01
—
590005183
RAILROAD MEDICARE
LA
Enumeration date
03/21/2007
Last updated
08/24/2026
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