Highland Clinic, A Prof Med Corp

LBN: Highland Clinic, A Prof Med Corp
Highland Clinic, A Prof Med Corp is an health care organization with primary practice located at 1453 E Bert Koun Loop #210, Shreveport LA 71105-6800. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Highland Clinic, A Prof Med Corp can be contacted via phone (318) 798-4623, or through Smith, Debbie W. via phone (318) 798-4598.

Contact Information

Primary practice address
1453 E Bert Koun Loop #210 Shreveport LA 71105-6800
Phone: (318) 798-4623
Fax: (318) 798-4646
Website:
Map and Directions
Authorized official contact:
Name: Smith, Debbie W.
Phone: (318) 798-4598

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X Louisiana

Profile Details

NPI number 1700259678
LBN Legal business name Highland Clinic, A Prof Med Corp
DBA Doing business as
Authorized official Smith, Debbie W.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2015
Last updated Dec 8th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700259678 NPPES
Louisiana MEDICAID 1038300

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