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Organization
RED RIVER SURGERY CENTER LLC
Active
Organization
RED RIVER SURGERY CENTER LLC
Active
Other names
Red River Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E. SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
708 N ASHLEY RIDGE LOOP BLDG 400, SHREVEPORT, LA 71106-7234
(318) 272-2214
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 665-1283
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15031
MEDICARE PTAN
LA
Enumeration date
10/19/2009
Last updated
11/23/2022
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