Organization
SNELLS LIMBS & BRACES OF SHREVEPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLYDE N. MASSEY CPO (VICE PRESIDENT)
(318) 424-4167
Entity
Organization
Contact information
Practice address
1404 JACKSON ST, ALEXANDRIA, LA 71301-6931
(318) 443-6391
Mailing address
1833 LINE AVE, SHREVEPORT, LA 71101-4611
(318) 424-4167
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1909734
—
LA
01
—
27624
BLUE CROSS SUPPLIER NUMBE
LA
Enumeration date
01/16/2007
Last updated
11/15/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us