MEDICARE: SPRINGHILL MEDICAL SERVICES INC

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
1	225X00000X	Occupational Therapist	OOT.Z11094	LA
2	225100000X	Physical Therapist	00222R	LA

General Provider Information

NPI Number	:	1215122742
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRINGHILL MEDICAL SERVICES INC

Provider Business Mailing Address
First Line	:	2001 DOCTORS DRIVE
Second Line	:
City	:	SPRINGHILL
State	:	LA
Zip	:	71075-4526
Country	:	US
Telephone Number	:	318-539-1001
Fax Number	:	318-539-4085

Provider Business Practice Location Address
First Line	:	206 REYNOLDS ST
Second Line	:
City	:	SPRINGHILL
State	:	LA
Zip	:	71075-3444
Country	:	US
Telephone Number	:	318-539-4006
Fax Number	:	318-539-4008

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MR. VINCENT R SEDMINIK
Credential	:
Telephone Number	:	318-539-1001

Provider Enumeration Date	:	09/07/2007
Last Update Date	:	01/11/2018

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Directions to “SPRINGHILL MEDICAL SERVICES INC ” Practice Location

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