Organization
BRFHH SHREVEPORT LLC
Active
Other names
University Health Shreveport
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERNON MOORE (CFO)
(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) 675-7531
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
142
LA
282N00000X
General Acute Care Hospital
—
—
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
05
—
720702002-001
—
IL
05
—
793527700
—
MN
05
—
95012621
—
CO
05
—
H0S0098N
—
AL
05
—
HS8470P
—
AK
Enumeration date
08/10/2005
Last updated
08/25/2017
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