RUSTON LOUISIANA HOSPITAL COMPANY LLC NPI 1063630382

NPI Information

  • NPI: 1063630382
  • Provider Name: RUSTON LOUISIANA HOSPITAL COMPANY LLC
  • Classification: Internal Medicine - 207RX0202X
  • Specialization: Medical Oncology
  • Entity Type: Organization
  • Doing Business As: CANCER INSTITUTE OF NORTHERN LOUISIANA MEDICAL CENTER
  • Address: 401 E VAUGHN AVE
    RUSTON, LA
    ZIP 71270
  • Phone: (318) 254-2100

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NPI Details

RUSTON LOUISIANA HOSPITAL COMPANY LLC is a medical oncology internal medicine in Ruston, LA. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. RUSTON LOUISIANA HOSPITAL COMPANY LLC NPI is 1063630382. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cancer Institute Of Northern Louisiana Medical Center.

The provider's business location address is:

401 E VAUGHN AVE
RUSTON, LA
ZIP 71270-950
Phone: (318) 254-2100

The provider's authorized official is Debbie Brewer .
The authorized official title is Director and has the following contact phone number (877) 892-9813.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 2/26/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RX0202XInternal MedicineMedical Oncology08523RLOUISIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15CY03MEDICARE PINLOUISIANA

What is NPI?

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This page was last updated on: 3/30/2025

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