MARTIN LUTHER KING HEALTH CENTER


Address: 1233 Sprague St., Shreveport, LA 71101
Phone: 3182272912

MARTIN LUTHER KING HEALTH CENTER (NPI# 1265675029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265675029
Entity Type Organization
Organization Name MARTIN LUTHER KING HEALTH CENTER
Practice Address 1233 Sprague St.
Shreveport
LA 71101
Practice Telephone 3182272912
Practice Fax Number 3182278105
Mailing Telephone 3182272912
Mailing Fax Number 3182278105
Enumeration Date 2009-04-09
Last Update Date 2009-04-09
Authorized Official Name MS. JANET M MENTESANE (EXECUTIVE DIRECTOR)
Authorized Official Telephone 3182272912
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy 2441-CH LA Suppliers
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities MARTIN LUTHER KING HEALTH CENTER INC 865 Olive St, Shreveport, LA 71104-2136

Office Location

Street Address 1233 SPRAGUE ST.
City SHREVEPORT
State LA
Zip Code 71101

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255988630 Renee Jewitt Case Manager/Care Coordinator 1513 Line Avenue, Suite 225, Shreveport, LA 71101 2019-08-21
1942770094 Bessie Larry Case Manager/Care Coordinator 1513 Line Av, 222, Shreveport, LA 71101 2018-12-03
1750875944 Jarvis Decarleonne Larry Community Health Worker 1513 Line Ave # 222, Shreveport, LA 71101 2018-06-20
1871083485 Kimberly B. Mcclelland, Lcsw Counselor 820 Jordan St. Ste 510w, Shreveport, LA 71101 2018-05-18
1982106456 Hudson Amc LLC Internal Medicine 1800 Irving Place, Shreveport, LA 71101 2018-03-01
1528572955 Spencer Ron Floyd Counselor 1717 Marshall Street, Shreveport, LA 71101 2017-11-21
1578088076 Brittany Morris Case Manager/Care Coordinator 1835 Spring Street Annex Building, Shreveport, LA 71101 2017-08-07
1275058794 Diane Williams Case Manager/Care Coordinator 217 Jones St Apt 510, Shreveport, LA 71101 2017-08-04
1386195972 Jakeya Woodbury Counselor 453 Stoner Ave, Shreveport, LA 71101 2016-10-18
1922459643 Arlene Huling Counselor 449 Egan Street, Shreveport, LA 71101 2016-06-23
Find all providers in zip 71101

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104432970 Genetics Collection LLC Clinic/Center 214 W 70th St Ste 205, Shreveport, LA 71106-3756 2020-09-17
1992219836 Gallego Health Clinic/Center 115 Hallette Dr, Shreveport, LA 71115-2959 2017-11-30
1265772586 Walter Asseff Clinic/Center 2014 Beth Ln, Shreveport, LA 71118-2708 2013-02-23
1861671869 Mid-city Family Clinic, LLC Clinic/Center 838 Margaret Pl, Shreveport, LA 71101-4509 2007-10-26
1447360524 Ross H Dies Dds and J Cody Cowen Dds A Dental LLC Clinic/Center 910 Bert Kouns Industrial Loop, Shreveport, LA 71118 2006-08-30
1679594782 Premier Care and Learning Center, Inc Clinic/Center 2110 Hollywood Ave, Shreveport, LA 71108-3922 2006-07-22
1932181054 The Arthritis & Rheumatology Clinic, A Medical Corporation Clinic/Center 740 Jordan St, Shreveport, LA 71101-4616 2005-11-15
1285635540 Louisiana State University Health Sciences Center Viral Disease Clini Clinic/Center 6670 Saint Vincent Ave, Shreveport, LA 71106-2638 2005-08-09
1871083162 The Healing Clinic, LLC Clinic/Center 745 Olive St Ste 109, Shreveport, LA 71104-2250 2018-05-14
1427490937 Bombinamd LLC Clinic/Center 4140 Hollywood Ave, Suite B-2, Shreveport, LA 71109-7818 2013-07-25
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Competitor

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City SHREVEPORT
Zip Code 71101

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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