# INNOVATIVE HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INNOVATIVE HEALTH SERVCIES LLC
- **Other names:** Innovative Medical Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780998963
- **Legal business name:** INNOVATIVE HEALTH SERVCIES LLC
- **Authorized official:** DR. JOHN V BARTON MD (DIRECTOR)
- **Authorized official phone:** (888) 447-2450

## Contact information

- **Practice address:** 1570 LINDBERG DR, STE 12, SLIDELL, LA 70458-8058
- **Practice address phone:** (985) 649-7070
- **Mailing address:** DEPT 960375, OKLAHOMA CITY, OK 73196-0001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | LA | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2010
- **Last updated:** 05/31/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1017621 | — | LA |
| 01 | — | DR4884 | RAILROAD MEDICARE | LA |