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WILLIS KNIGHTON MEDICAL CENTER INC. NPI 1487693149


NPI Information

NPI: 1487693149
Provider Name: WILLIS KNIGHTON MEDICAL CENTER, INC.

Doing Business As: HOSPICE OF LOUISIANA

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
3300 ALBERT L BICKNELL DR
SUITE 3
SHREVEPORT, LA
ZIP 71103
Phone: (318) 212-4697
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WILLIS KNIGHTON MEDICAL CENTER, INC. is a hospice care community based in Shreveport, LA. WILLIS KNIGHTON MEDICAL CENTER, INC. NPI is 1487693149. The provider is registered as an organization entity type.
The provider Is Doing Business As Hospice Of Louisiana.

The provider's business location address is:

3300 ALBERT L BICKNELL DR
SUITE 3
SHREVEPORT, LA
ZIP 71103-903
Phone: (318) 212-4697
Fax: (318) 212-8377

The provider's authorized official is Robert D Huie .
The authorized official title is Executive Vice President and has the following contact phone number (318) 212-4448.

The enumeration date for this NPI number is 6/6/2006 and was last updated on 7/25/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community Based17LOUISIANAYes

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
11580104MEDICAIDLOUISIANA
2191517MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA
333720OTHERLOUISIANABLUE CROSS/BLUE SHIELD

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: 11/14/2023

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