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NPI Code Detail

MEDICARE: REGIONAL HEALTH SERVICES LLC

MEDICARE: REGIONAL HEALTH SERVICES 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
1332B00000XDurable Medical Equipment & Medical Supplies3229036-006LA
2332BC3200XCustomized Equipment (DME)
3332BN1400XNursing Facility Supplies (DME)
4332BP3500XParenteral & Enteral Nutrition Supplies (DME)
5335E00000XProsthetic/Orthotic Supplier
6332BX2000XOxygen Equipment & Supplies (DME)

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 : 1689628307
Entity Type Code : Organization
Provider Name (Legal Business Name) : REGIONAL HEALTH SERVICES LLC
Provider Business Mailing Address
First Line : PO BOX 95006
Second Line :
City : BATON ROUGE
State : LA
Zip : 70895-9006
Country : US
Telephone Number : 225-629-3000
Fax Number : 225-629-3030
Provider Business Practice Location Address
First Line : 1119 FORSYTHE AVE
Second Line :
City : MONROE
State : LA
Zip : 71201-4307
Country : US
Telephone Number : 318-325-4570
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MR. RANDALL CHARLES FABRE
Credential :
Telephone Number : 225-629-3000
Provider Enumeration Date : 05/19/2006
Last Update Date : 01/29/2020

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Directions to “REGIONAL HEALTH SERVICES LLC ” Practice Location

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