# BLANCHARD MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTH CADDO HOSPITAL SERVICE DISTRICT
- **Other names:** Blanchard Medical
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760089791
- **Legal business name:** NORTH CADDO HOSPITAL SERVICE DISTRICT
- **Authorized official:** MR. DAKOTA ROBINSON (CFO)
- **Authorized official phone:** (318) 375-4097

## Contact information

- **Practice address:** 5948 N MARKET ST, SHREVEPORT, LA 71107-2017
- **Practice address phone:** (318) 375-0001
- **Practice address fax:** (318) 375-0002
- **Mailing address:** 5948 N MARKET ST, SHREVEPORT, LA 71107-2017
- **Mailing address phone:** (318) 375-0001
- **Mailing address fax:** (318) 375-0002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/02/2020
- **Last updated:** 01/29/2024