# D GREGORY BELL MD AND WILLIS-KNIGHTON MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801831169
- **Authorized official:** GREG J. GAVIN (NETWORK ADMINISTRATOR)
- **Authorized official phone:** (318) 932-2170

## Contact information

- **Practice address:** 1633 MARVEL ST, COUSHATTA, LA 71019-9022
- **Practice address phone:** (318) 932-2170
- **Practice address fax:** (318) 932-2242
- **Mailing address:** PO BOX 506, COUSHATTA, LA 71019-0506
- **Mailing address phone:** (318) 932-2170
- **Mailing address fax:** (318) 932-2242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/19/2006
- **Last updated:** 06/08/2012