SHREVEPORT VAMC


Address: 3000 Knight St, Building 5, Shreveport, LA 71105-2502
Phone: 6153553451

SHREVEPORT VAMC (NPI# 1639567993) 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) 1639567993
Entity Type Organization
Organization Name SHREVEPORT VAMC
Other Organization Name KNIGHT STREET VA OOS
Practice Address 3000 Knight St
Building 5
Shreveport
LA 71105-2502
Mailing Address Po Box 94538
Cleveland
OH 44101
Practice Telephone 6153553451
Mailing Telephone 6153553451
Enumeration Date 2015-01-08
Last Update Date 2017-09-26
Authorized Official Name ERIN POTTER (NPI TEAM MEMBER)
Authorized Official Telephone 2023822579
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QV0200X Clinic/Center
Specialization: VA
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
KNIGHT STREET VA OOS Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1417996489 Shreveport Vamc Clinic/Center 910 Realtor Road, Texarkana, AR 71854-1020 2006-06-05
1649218090 Shreveport Vamc Clinic/Center 1691 Bienville Dr, Monroe, LA 71201-3756 2006-06-04
1457307522 Shreveport Vamc Clinic/Center 1005 N Eastman Rd, Longview, TX 75601-4231 2006-05-26
1891745626 Shreveport Vamc General Acute Care Hospital 510 E Stoner Ave, Shreveport, LA 71101-4243 2006-05-11
1982652145 Shreveport Vamc Department of Veterans Affairs (VA) Pharmacy 510 E Stoner Ave, Shreveport, LA 71101-4243 2006-05-04

Office Location

Street Address 3000 KNIGHT ST
BUILDING 5
City SHREVEPORT
State LA
Zip Code 71105-2502

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821381161 Community Support Programs, Inc. Non-emergency Medical Transport (VAN) 3000 Knight St, Ste 100, Shreveport, LA 71105-2502 2011-05-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699245928 Misty Johnetta Ross Counselor 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 2018-11-29
1205301868 Tatjhana Maury Case Manager/Care Coordinator 3325 Youree Drive, Shreveport, LA 71105 2018-10-10
1245710920 Jefferey Douglas Adair Md Non-Pharmacy Dispensing Site 8860 Fern Ave., Suite 120, Shreveport, LA 71105 2018-08-21
1679059539 Michael E Woolbert Dds LLC Dentist 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 2018-07-13
1881195675 Adiba Bibi Pharmacist 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 2018-02-27
1740796655 Allison Borel Counselor 2020 E 70th St Ste 201, Shreveport, LA 71105 2017-12-15
1073028148 Valerie Wooten Barcelona Physical Therapist 130 Kayla Street, Shreveport, LA 71105 2017-12-11
1710497615 Jimmy Carroll Counselor 2960 Knight St, Suite 110, Shreveport, LA 71105 2017-10-05
1932618444 David Louis Bennett Counselor 3007 Knight St., Suite 200, Shreveport, LA 71105 2017-09-27
1619496452 Shaqwana Hodge Counselor 2920 Knight St. Suite 110, Shreveport, LA 71105 2017-09-13
Find all providers in zip 71105

Taxonomy Information

Taxonomy Code 261QV0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization VA

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811355779 Alexandria Vamc Clinic/Center 3601 Gerstner Memorial Drive, Hwy 14, Lake Charles, LA 70607-9998 2016-02-08
1104294693 Va North Texas Health Care System Clinic/Center 3809 Transcontinental Dr, Metairie, LA 70006-2639 2015-09-14
1760535058 New Orleans Vamc Clinic/Center 4004 W Airline Hwy, Reserve, LA 70084-5712 2007-01-19
1457396095 Southeast Louisiana Veterans Health Care System Clinic/Center 1101 S Morrison Blvd, Hammond, LA 70403-5409 2006-06-18
1649218090 Shreveport Vamc Clinic/Center 1691 Bienville Dr, Monroe, LA 71201-3756 2006-06-04
1093761462 Alexandria Vamc Clinic/Center 1907 Johnson St, Jennings, LA 70546-3627 2006-05-26
1245286277 New Orleans Vamc Clinic/Center 6433 W Park Ave, Suite 107, Houma, LA 70364-2238 2006-05-25
1275589137 Alexandria Vamc Clinic/Center 3149 Ambassador Caffery Parkway, Lafayette, LA 70506-7209 2006-05-25
1225696610 Caring Hands LLC Clinic/Center 134 Arlington Dr, Lake Charles, LA 70605-5702 2019-05-31
1366896714 Alexandria Vamc Clinic/Center 309 Saint Julien Ave, Suite 201, Lafayette, LA 70506-4655 2016-04-21
Find all providers with the same taxonomy

Competitor

Search similar providers

City SHREVEPORT
Zip Code 71105

Improve Information

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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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