HARRIS MEMORIAL PEDIATRIC & FAMILY CLINIC – NPI #1619353802
Point of Service

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.

Health Care Provider Taxonomy Code for Point of Service

HARRIS MEMORIAL PEDIATRIC & FAMILY CLINIC is a managed care organization located in SHREVEPORT, LA. NPPES has assigned the NPI number 1619353802 to HARRIS MEMORIAL PEDIATRIC & FAMILY CLINIC on August 10, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 305S00000X from the Health Care Provider Taxonomy code set, which is classified as Point of Service.

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 HARRIS MEMORIAL PEDIATRIC & FAMILY CLINIC below.

NPI Profile for
HARRIS MEMORIAL PEDIATRIC & FAMILY CLINIC

NPI Number
1619353802
Enumeration Date

(about 11 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
HARRIS MEMORIAL PEDIATRIC & FAMILY CLINIC
Primary location
4571 N MARKET ST
SHREVEPORT, LA 71107-2917
Phone: (318) 934-0097 Fax: (318) 934-0097
Mailing address
PO BOX 7312
SHREVEPORT, LA 71137-7312
Phone: (318) 205-4075 Fax: (318) 754-4134
Organization Subpart
No
Authorized Official
RICHARD JACKSON
CHEIF EXECUTIVE OFFICE
Phone: (318) 205-4075
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
305S00000X
- Point of Service (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.