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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