Willis-Knighton Medical Center Mark Richard Mainous

LBN: Willis-Knighton Medical Center Mark Richard Mainous
Willis-Knighton Medical Center Mark Richard Mainous is an health care organization with primary practice located at 2400 Hospital Dr Suite 310, Bossier City LA 71111-2385. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as the primary health care specialty. Willis-Knighton Medical Center Mark Richard Mainous can be contacted via phone (318) 212-7810, or through Gavin, Greg J. via phone (318) 212-7810.

Contact Information

Primary practice address
2400 Hospital Dr Suite 310 Bossier City LA 71111-2385
Phone: (318) 212-7810
Fax: (318) 212-7815
Website:
Map and Directions
Authorized official contact:
Name: Gavin, Greg J.
Phone: (318) 212-7810

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X

Profile Details

NPI number 1720014145
LBN Legal business name Willis-Knighton Medical Center Mark Richard Mainous
DBA Doing business as
Authorized official Gavin, Greg J.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2006
Last updated Jul 21st, 2022 - about 3 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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