POWELL MEDICAL CENTER MINISTISTRIES INC


Address: 515 Pierre Ave, Shreveport, LA 71101-2445
Phone: 3182214471

POWELL MEDICAL CENTER MINISTISTRIES INC (NPI# 1437216710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437216710
Entity Type Organization
Organization Name POWELL MEDICAL CENTER MINISTISTRIES INC
Practice Address 515 Pierre Ave
Shreveport
LA 71101-2445
Practice Telephone 3182214471
Practice Fax Number 3182214913
Enumeration Date 2007-01-03
Last Update Date 2020-08-22
Authorized Official Name DR. ALBERT H POWELL (PHYSICIAN)
Authorized Official Telephone 3182214471
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305S00000X Point of Service L012949 LA Managed Care Organizations

Other Provider Identifier

State Issuer Identifier Type Code
LA 1140376 05

Office Location

Street Address 515 PIERRE AVE
City SHREVEPORT
State LA
Zip Code 71101-2445

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255988630 Renee Jewitt Case Manager/Care Coordinator 1513 Line Avenue, Suite 225, Shreveport, LA 71101 2019-08-21
1942770094 Bessie Larry Case Manager/Care Coordinator 1513 Line Av, 222, Shreveport, LA 71101 2018-12-03
1750875944 Jarvis Decarleonne Larry Community Health Worker 1513 Line Ave # 222, Shreveport, LA 71101 2018-06-20
1871083485 Kimberly B. Mcclelland, Lcsw Counselor 820 Jordan St. Ste 510w, Shreveport, LA 71101 2018-05-18
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1528572955 Spencer Ron Floyd Counselor 1717 Marshall Street, Shreveport, LA 71101 2017-11-21
1578088076 Brittany Morris Case Manager/Care Coordinator 1835 Spring Street Annex Building, Shreveport, LA 71101 2017-08-07
1275058794 Diane Williams Case Manager/Care Coordinator 217 Jones St Apt 510, Shreveport, LA 71101 2017-08-04
1386195972 Jakeya Woodbury Counselor 453 Stoner Ave, Shreveport, LA 71101 2016-10-18
1922459643 Arlene Huling Counselor 449 Egan Street, Shreveport, LA 71101 2016-06-23
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Taxonomy Information

Taxonomy Code 305S00000X
Grouping Managed Care Organizations
Classification Point of Service

Taxonomy Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62

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1083743041 An Endless Love Home Care, LLC Point of Service 6259 Tinker Street, Shreveport, LA 71109 2007-03-05
1619353802 Harris Memorial Pediatric & Family Clinic Point of Service 4571 N Market St, Shreveport, LA 71107-2917 2015-08-10
1356466742 Northwest La Incs, LLC Point of Service 4111 Metro Dr, Shreveport, LA 71109-6001 2007-03-21
1023133808 Northwest La Incs, LLC Point of Service 4111 Metro Dr, Shreveport, LA 71109-6001 2007-03-20

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1437604790 New Life Recovery LLC Point of Service 825 Center St, New Iberia, LA 70560-5500 2016-08-16
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1285038240 Rojonah Harris Point of Service 14482 W Muscarello Ln, Hammond, LA 70401-1577 2014-10-20
1497191035 Discipleship Consultant Realtions Point of Service 2005 Ames Blvd, Suite #b, Marrero, LA 70072-4719 2013-05-21
1558634832 Unique Expression Consultants L.l.c Point of Service 7310 Camberley Drive, New Orleans, LA 70128 2012-02-16
1558683615 Discovery Works Treatment Center Point of Service 126 Touline, Natchitoches, LA 71457 2010-02-17
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Competitor

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City SHREVEPORT
Zip Code 71101

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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