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
- Organization
- General Acute Care Hospital
- Children
- Accepts Insurance
- CLIA Number: 19D0705402
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-04-2026
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 12 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
- Code Navigator
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:
- CHRISTUS Bronze (2 Free PCP Visits, $0 Preferred Generic Rx, $0 Virtual Urgent Care) - HMO
- CHRISTUS Bronze + Dental & Vision (2 Free PCP Visits, $0 Preferred Generic Rx, $0 Virtual Urgent Care) - HMO
- CHRISTUS Bronze Essential - HMO
- CHRISTUS Bronze Essential (2 Free PCP Visits, $0 Preferred Generic Rx, $0 Virtual Urgent Care) - HMO
- CHRISTUS Bronze Essential + Dental & Vision (2 Free PCP Visits, $0 Preferred Generic Rx, $0 Virtual Urgent Care) - HMO
- CHRISTUS Bronze Essential Plus - HMO
- CHRISTUS Catastrophic (3 Free PCP visits) - HMO
- CHRISTUS Gold - HMO
- CHRISTUS Gold + Dental & Vision + Fitness ($0 Deductible, $5 PCP, $0 Generic Rx, $0 Virtual Urgent Care) - HMO
- CHRISTUS Gold + Fitness ($0 Deductible, $5 PCP, $0 Generic Rx, $0 Virtual Urgent Care) - HMO
- CHRISTUS Gold Essential - HMO
- CHRISTUS Gold Essential ($0 Rx Deductible, $5 PCP, $0 Virtual Urgent Care) - HMO
- CHRISTUS Gold Essential + Dental & Vision ($0 Rx Deductible, $5 PCP, $0 Virtual Urgent Care) - HMO
- CHRISTUS Gold Essential Plus - HMO
- CHRISTUS Gold Plus - HMO
- CHRISTUS Silver Essential - HMO
- CHRISTUS Silver Essential 70 ($5 PCP, $0 Preferred Generic Rx, $0 Virtual Urgent Care) - HMO
- CHRISTUS Silver Essential 70 + Dental & Vision ($5 PCP, $0 Preferred Generic Rx, $0 Virtual Urgent Care) - HMO
- CHRISTUS Silver Essential Plus - HMO
- CHRISTUS Standard Expanded Bronze - 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.
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 |
|---|---|---|---|
| 200341270A | MEDICAID (05) | OK | |
| 2700031 | MEDICAID (05) | LA | |
| 258361 | OTHER (01) | LA | MEDICARE PART B (PTAN) |
| 3168429 | MEDICAID (05) | TX | |
| 179 | OTHER (01) | LA | HOSPITAL LICENSE NUMBER |
| 08155267 | MEDICAID (05) | MS | |
| 149229 | MEDICAID (05) | AL | |
| 193301 | MEDICARE OSCAR/CERTIFICATION (06) | ||
| 191748105 | MEDICAID (05) | AR |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 19D0705402
- Facility Type
- Physician Office
- Certificate Effective Date
- October 05, 2024
- Certificate Expiration Date
- October 04, 2026
- Laboratory Director
- CARY H. MIELKE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Shriners Hospitals For Children Shreveport to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1679617849, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
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: CHRISTUS Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
