RED RIVER CENTER LLC
Medical Equipment Supplier Yellow Pages
Bossier City, Louisiana
Provider NPI: 1275665887
Organization Information:Organization Name: RED RIVER CENTER LLC
Practice Location:
4820 MEDICAL DR BOSSIER CITY, LA 71112 US
Tel: 318-747-1857 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:
4820 MEDICAL DR BOSSIER CITY, LA 71112 US
Tel: 318-747-1857 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332BP3500X | Suppliers Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | LA | 5309510002 |
Y | 332BN1400X | Suppliers Durable Medical Equipment & Medical Supplies |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1620998 | LA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin