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HIGHLAND CLINIC A PROF MED CORP NPI 1053315846


NPI Information

NPI: 1053315846
Provider Name: HIGHLAND CLINIC, A PROF MED CORP
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1455 E BERT KOUNS LOOP
SHREVEPORT, LA
ZIP 71105
Phone: (318) 798-4500
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HIGHLAND CLINIC, A PROF MED CORP is a multi-specialty clinic center in Shreveport, LA. HIGHLAND CLINIC, A PROF MED CORP NPI is 1053315846. The provider is registered as an organization entity type.

The provider's business location address is:

1455 E BERT KOUNS LOOP
SHREVEPORT, LA
ZIP 71105-634
Phone: (318) 798-4500
Fax: (318) 798-4555

The provider's authorized official is Debbie W. Smith .
The authorized official title is Administrator and has the following contact phone number (318) 798-4598.

The enumeration date for this NPI number is 6/9/2005 and was last updated on 12/11/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterNo
2261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1108413002MEDICAIDARKANSAS
2071428901MEDICAIDTEXAS
31038300MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.