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Organization
SOUTH BOSSIER MEDICAL
Active
Organization
SOUTH BOSSIER MEDICAL
Active
Parent organization
NORTH CADDO HOSPITAL SERVICE DISTRICT
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH CADDO HOSPITAL SERVICE DISTRICT
Authorized official
DAVID JONES (CEO)
(318) 375-4001
Entity
Organization
Contact information
Practice address
5668 BARKSDALE BLVD, BOSSIER CITY, LA 71112
(318) 735-1800
(318) 725-4960
Mailing address
5668 BARKSDALE BLVD, BOSSIER CITY, LA 71112-8738
(318) 735-1800
(318) 725-4960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
NULL
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/26/2022
Last updated
10/09/2026
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