SHRINERS HOSPITALS FOR CHILDREN SHREVEPORT
NPI 1679617849
General Acute Care Hospital - Children in Shreveport, LA

NPI Status: Active since February 19, 2007

Contact Information

3100 SAMFORD AVE
SHREVEPORT, LA
ZIP 71103
Phone: (318) 222-5704
Fax: (318) 424-7610

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  • Organization
  • General Acute Care Hospital
  • Children
  • Accepts Insurance

About SHRINERS HOSPITALS FOR CHILDREN SHREVEPORT

This page provides the complete NPI Profile along with additional information for Shriners Hospitals For Children Shreveport, a provider established in Shreveport, Louisiana operating as a General Acute Care Hospital, focusing in children . The healthcare provider is registered in the NPI registry with number 1679617849 assigned on February 2007. The practitioner's primary taxonomy code is 282NC2000X with license number 179 (LA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's other name is Shriners Hospitals For Children Shreveport. The authorized official of this NPI record is Mr. Garry Kim Green Fache (Administrator)

NPI
1679617849
Provider Legal Name
SHRINERS HOSPITALS FOR CHILDREN
Other Organization Name
SHRINERS HOSPITALS FOR CHILDREN SHREVEPORT
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
3100 SAMFORD AVE SHREVEPORT, LA 71103
Location Phone
(318) 222-5704
Location Fax
(318) 424-7610
Mailing Address
SHRINERS HOSPITALS FOR CHILDREN P.O. BOX 8500, LOCKBOX #7642 PHILADELPHIA, PA 19178
Mailing Phone
(813) 281-8657
Mailing Fax
(318) 424-7610
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-19-2007
Last Update Date
03-07-2014
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital Children

Taxonomy Code
282NC2000X
Type
Hospitals
License No.
179
License State
LA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • CHRISTUS Bronze - HMO
  • CHRISTUS Bronze Essential - HMO
  • CHRISTUS Bronze Essential Plus - HMO
  • CHRISTUS Bronze Plus - HMO
  • CHRISTUS Catastrophic - HMO
  • CHRISTUS Gold - HMO
  • CHRISTUS Gold Essential - HMO
  • CHRISTUS Gold Essential Plus - HMO
  • CHRISTUS Gold Plus - HMO
  • CHRISTUS Silver - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. GARRY KIM GREEN FACHE

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(318) 222-5704

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
200341270AMEDICAID (05)OK 
2700031MEDICAID (05)LA 
258361OTHER (01)LAMEDICARE PART B (PTAN)
3168429MEDICAID (05)TX 
179OTHER (01)LAHOSPITAL LICENSE NUMBER
08155267MEDICAID (05)MS 
149229MEDICAID (05)AL 
193301MEDICARE OSCAR/CERTIFICATION (06) 
191748105MEDICAID (05)AR 

Reviews for SHRINERS HOSPITALS FOR CHILDREN SHREVEPORT

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1679617849
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261491211488
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 1 + 2 + 1 + 1 + 4 + 8 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1679617849 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MRS. KELLY DUBOIS GOBERT CPNP

Nurse Practitioner

(Pediatrics)

3100 SAMFORD AVE
SHREVEPORT, LA
ZIP 71103

(318) 226-3306

MICHELLE MCFERREN BROWN CPNP

Nurse Practitioner

(Pediatrics)

3100 SAMFORD AVE
SHREVEPORT, LA
ZIP 71103

(318) 226-3306

DEBORAH BANKS

Physical Therapist

(Pediatrics)

3100 SAMFORD AVE
SHREVEPORT, LA
ZIP 71103

(318) 226-3329

NATALIE WOOLEY BOMAR LOTR

Occupational Therapist

(Pediatrics)

3100 SAMFORD AVE
SHREVEPORT, LA
ZIP 71103

(318) 222-5704

MRS. SUSAN SAYLORS BRYANT P.T.

Physical Therapist

3100 SAMFORD AVE
SHREVEPORT, LA
ZIP 71103

(318) 222-5704

LYNN GIBBS JENKINS LOTR

Occupational Therapist

(Pediatrics)

3100 SAMFORD AVE
SHREVEPORT, LA
ZIP 71103

(318) 222-5704

DR. EMILY HUMMER NAUS M.D.

Anesthesiology

3100 SAMFORD AVE
SHREVEPORT, LA
ZIP 71103

(318) 222-5704

DR. PHILIP EDWIN GATES M.D.

Orthopaedic Surgery

3100 SAMFORD AVE
SHREVEPORT, LA
ZIP 71103

(318) 226-3306

CATHY HOBBS BARTLEY C.P.N.P.

Nurse Practitioner

3100 SAMFORD AVE
SHREVEPORT, LA
ZIP 71103

(318) 226-3306

MRS. LINDA SCOGGINS BECKERMEYER APRN, CPNP

Nurse Practitioner

(Pediatrics)

3100 SAMFORD AVE
SHREVEPORT, LA
ZIP 71103

(318) 226-3306

DONNIE REINHART DO

Orthopaedic Surgery

3100 SAMFORD AVE
SHREVEPORT, LA
ZIP 71103

(318) 226-3306

SHRINERS HOSPITALS FOR CHILDREN

Anesthesiology

3100 SAMFORD AVE
SHREVEPORT, LA
ZIP 71103

(318) 222-5704

MRS. AMANDA CARFAGNO NP

Nurse Practitioner

(Pediatrics)

3100 SAMFORD AVE
SHREVEPORT, LA
ZIP 71103

(318) 226-3306

SHRINERS HOSPITALS FOR CHILDREN

Orthopaedic Surgery

(Pediatric Orthopaedic Surgery)

3100 SAMFORD AVE
SHREVEPORT, LA
ZIP 71103

(318) 222-5704

KENNETH PATRICK POWELL MD

Orthopaedic Surgery

(Pediatric Orthopaedic Surgery)

3100 SAMFORD AVE
SHREVEPORT, LA
ZIP 71103

(318) 226-3306

MEREDITH TURNER

Nurse Practitioner

(Family)

3100 SAMFORD AVE
SHREVEPORT, LA
ZIP 71103

(318) 222-5704

DAMIAN JUDE DUHON PT, DPT

Physical Therapist

3100 SAMFORD AVE
SHREVEPORT, LA
ZIP 71103

(318) 226-4219

CAITLIN MORGAN MEADOR OTR/L

Occupational Therapist

3100 SAMFORD AVE
SHREVEPORT, LA
ZIP 71103

(318) 222-5704

KATELYN A HEADRICK PT, DPT

Physical Therapist

3100 SAMFORD AVE
SHREVEPORT, LA
ZIP 71103

(318) 222-5704

ALYSE WELLS HOGAN OTR

Occupational Therapist

3100 SAMFORD AVE
SHREVEPORT, LA
ZIP 71103

(318) 222-5704

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679617849, enumerated as an "organization" on February 19, 2007.

The provider is located at 3100 SAMFORD AVE SHREVEPORT, LA 71103 and the phone number is (318) 222-5704.

General Acute Care Hospital with taxonomy code 282NC2000X and a focus in Children.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.