Willis Knighton Medical Center, INC.
General Acute Care Hospital in Shreveport, LA. Organization (NPI-2).
NPI number1124170691
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1124170691
- Entity type
- Organization (NPI-2)
- Legal business name
- Willis Knighton Medical Center, INC.
- Organization subpart
- No
- Enumeration date
- Jan 17, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 282N00000X | General Acute Care Hospital | 232-A | LA | Yes |
Other names
- Willis Knighton South Hospital (Doing Business As)
Practice location
2510 Bert Kouns Industrial LoopShreveport, LA 71118-3119
Phone 318-212-5003 · Fax 318-212-5005
Mailing address
2510 Bert Kouns Industrial LoopShreveport, LA 71118-3119
Phone 318-212-5003 · Fax 318-212-5005
Authorized official
Stacy H Alexander
Controller
3182124877
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