NPI 1174679625

Vinelco Physicians Associates LLC

Organisation Long Term Care Hospital Bossier City, LA

Practice location

Address: 4900 Medical Dr, Bossier City, LA 71112-4521
Phone: (318) 932-2081
Fax: (318) 932-2215
Mailing address: PO Box 53032, Shreveport, LA 71135-3032

Authorised official

Name: Gavin Chico
Title: Managing Partner
Phone: (318) 798-2399

Registered specialties

Long Term Care Hospital Primary

Hospitals Taxonomy 282E00000X Licence 11956R (LA)

Other Long Term Care Hospital providers in Louisiana →

Registry record

NPI: 1174679625
Entity type: Organization
NPI issued: 26 Jan 2007
Record last updated: 8 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.