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Organization
UNIVERSITY HEALTH SHREVEPORT LLC
Active
Organization
UNIVERSITY HEALTH SHREVEPORT LLC
Active
Other names
Ochsner LSU Health Shreveport
Organization subpart
No
Provider details
NPI number
Authorized official
MITZI GREEN (DIRECTOR)
(318) 626-0000
Entity
Organization
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
(318) 675-7531
Mailing address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
(318) 675-5666
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
142
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0020300
—
MS
05
—
00537776X
—
GA
05
—
01370170
—
KY
05
—
026874
—
AZ
05
—
0508374
—
IA
05
—
100038750
—
IN
05
—
108357105
—
AR
05
—
124387
—
MI
05
—
1444405
—
LA
05
—
1705675
—
LA
05
—
1737712
—
LA
01
—
190098
MEDICARE
LA
05
—
720702002-001
—
IL
05
—
793527700
—
MN
05
—
95012621
—
CO
05
—
H0S0098N
—
AL
05
—
HS8470P
—
AK
Enumeration date
08/02/2018
Last updated
03/16/2023
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