POWELL MEDICAL CENTER MINISTISTRIES INC (NPI# 1437216710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437216710 |
| Entity Type | Organization |
| Organization Name | POWELL MEDICAL CENTER MINISTISTRIES INC |
| Practice Address |
515 Pierre Ave Shreveport LA 71101-2445 |
| Practice Telephone | 3182214471 |
| Practice Fax Number | 3182214913 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ALBERT H POWELL (PHYSICIAN) |
| Authorized Official Telephone | 3182214471 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | L012949 | LA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1140376 | 05 |
| Street Address |
515 PIERRE AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-2445 |
| 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 Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1700901683 | Northwest La Incs, LLC | Point of Service | 4111 Metro Dr, Shreveport, LA 71109-6001 | 2007-03-20 |
| 1083743041 | An Endless Love Home Care, LLC | Point of Service | 6259 Tinker Street, Shreveport, LA 71109 | 2007-03-05 |
| 1619353802 | Harris Memorial Pediatric & Family Clinic | Point of Service | 4571 N Market St, Shreveport, LA 71107-2917 | 2015-08-10 |
| 1356466742 | Northwest La Incs, LLC | Point of Service | 4111 Metro Dr, Shreveport, LA 71109-6001 | 2007-03-21 |
| 1023133808 | Northwest La Incs, LLC | Point of Service | 4111 Metro Dr, Shreveport, LA 71109-6001 | 2007-03-20 |
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| 1437604790 | New Life Recovery LLC | Point of Service | 825 Center St, New Iberia, LA 70560-5500 | 2016-08-16 |
| 1174973747 | Another Level LLC | Point of Service | 101 Curry Creek Ct, Calhoun, LA 71225-7947 | 2016-06-15 |
| 1285038240 | Rojonah Harris | Point of Service | 14482 W Muscarello Ln, Hammond, LA 70401-1577 | 2014-10-20 |
| 1497191035 | Discipleship Consultant Realtions | Point of Service | 2005 Ames Blvd, Suite #b, Marrero, LA 70072-4719 | 2013-05-21 |
| 1558634832 | Unique Expression Consultants L.l.c | Point of Service | 7310 Camberley Drive, New Orleans, LA 70128 | 2012-02-16 |
| 1558683615 | Discovery Works Treatment Center | Point of Service | 126 Touline, Natchitoches, LA 71457 | 2010-02-17 |
| 1154560894 | Special Touch Group Home, L.L.C. | Point of Service | 1405 W Lakeshore Dr, Natchitoches, LA 71457-4878 | 2009-02-19 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on POWELL MEDICAL CENTER MINISTISTRIES INC.
| 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.