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NPI Code Detail

MEDICARE: LHCG-IV, LLC

MEDICARE: LHCG-IV, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital506LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346297876
Entity Type Code : Organization
Provider Name (Legal Business Name) : LHCG-IV, LLC
Provider Business Mailing Address
First Line : 420 W PINHOOK RD
Second Line : SUITE A
City : LAFAYETTE
State : LA
Zip : 70503-2131
Country : US
Telephone Number : 337-233-1307
Fax Number : 337-233-5764
Provider Business Practice Location Address
First Line : 501 KEYSER AVE
Second Line : 2ND FLOOR
City : NATCHITOCHES
State : LA
Zip : 71457-6018
Country : US
Telephone Number : 318-354-2044
Fax Number : 318-354-2041
Authorized Official
Title or Position : PRESIDENT / CEO
Name : MR. KEITH G. MYERS
Credential :
Telephone Number : 337-233-1307
Provider Enumeration Date : 05/29/2006
Last Update Date : 08/22/2020

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