VINELCO PHYSICIANS ASSOCIATES LLC
Long Term Care Hospital
Bossier City, Louisiana
Provider NPI: 1174679625
Organization Information:Organization Name: VINELCO PHYSICIANS ASSOCIATES LLC
Practice Location:
4900 MEDICAL DR BOSSIER CITY, LA 71112 US
Tel: 318-932-2081 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
4900 MEDICAL DR BOSSIER CITY, LA 71112 US
Tel: 318-932-2081 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 282E00000X | Hospitals Long Term Care Hospital | LA | 11956R |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
RR MEDICARE GROUP NUMBER | DQ1007 | LA | 01 |
1315290 | LA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin