North Bossier Internal Medicine

LBN: Willis-Knighton Medical Center, Inc.
North Bossier Internal Medicine is an health care organization with primary practice located at 2400 Hospital Dr Suite 350, Bossier City LA 71111-2385. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Willis-Knighton Medical Center, Inc. can be contacted via phone (318) 212-7930, or through Gavin, Greg J. via phone (318) 212-8780.

Contact Information

Primary practice address
2400 Hospital Dr Suite 350 Bossier City LA 71111-2385
Phone: (318) 212-7930
Fax: (318) 212-7935
Website:
Map and Directions
Authorized official contact:
Name: Gavin, Greg J.
Phone: (318) 212-8780

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1679515118
LBN Legal business name Willis-Knighton Medical Center, Inc.
DBA Doing business as North Bossier Internal Medicine
Authorized official Gavin, Greg J.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 11th, 2006
Last updated Dec 20th, 2011 - about 14 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 1679515118 NPPES
Louisiana MEDICAID 1452866

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