NPI 1437216710

Powell Medical Center Minististries INC

Organisation Point of Service Shreveport, LA

Practice location

Address: 515 Pierre Ave, Shreveport, LA 71101-2445
Phone: (318) 221-4471
Fax: (318) 221-4913

Authorised official

Name: Albert H Powell
Title: Physician
Phone: (318) 221-4471

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence L012949 (LA)

Other Point of Service providers in Louisiana →

Registry record

NPI: 1437216710
Entity type: Organization
NPI issued: 3 Jan 2007
Record last updated: 22 Aug 2020

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.