SURGICAL SUITES AT THE WALL CENTER, LLC – NPI #1386893758
Clinic/Center

SURGICAL SUITES AT THE WALL CENTER, LLC is an AHC clinic located in SHREVEPORT, LA. NPPES has assigned the NPI number 1386893758 to SURGICAL SUITES AT THE WALL CENTER, LLC on September 10, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 17 years ago on Apr 21, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SURGICAL SUITES AT THE WALL CENTER, LLC below.

NPI Profile for
SURGICAL SUITES AT THE WALL CENTER, LLC

NPI Number
1386893758
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SURGICAL SUITES AT THE WALL CENTER, LLC
Primary location
8600 FERN AVENUE
STE. 200
SHREVEPORT, LA 71105
Phone: (318) 795-0801 Fax: (318) 795-9492
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SIMEON WALL
MEDICAL DIRECTOR
Phone: (318) 795-0801
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.