| Organization Name: | ETHICUS HOSPITAL-SHREVEPORT, LLC |
| NPI Number: | 1649201104 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT A. LOEPP (PRESIDENT) |
| Mailing Address: | 2105 Airline Dr Bossier City |
| State: | LA US |
| Postal Code: | 711113105 |
| Phone Number: | 7135722222 |
| Fax Number: | 7135722273 |
| NPI Enumeration Date: | 07/05/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282N00000X |
| License Number: | APPLIED FOR |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |