OrganizationActive
Northwest La Incs, LLC
NPI 1023133808 · Point of Service · Shreveport, LA
Provider details
- NPI number
- 1023133808
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Cindy Parker, Regional Coordinator(318) 636-0390
- License
- 11761 (LA)
Specialties & taxonomies
Managed Care Organizations
Practice location
4111 Metro Dr
Shreveport, LA 71109-6001
Phone: (318) 636-0390
Fax: (318) 635-3298
Approximate (ZIP-level) locationGet directions
Mailing address
4111 Metro Dr
Shreveport, LA 71109-6001
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.