# WILLIS-KNIGHTON MEDICAL SYSTEM

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

## Provider details

- **NPI number:** 1871043836
- **Authorized official:** MR. JAMES K. ELROD (CEO/PRESIDENT)
- **Authorized official phone:** (318) 212-4000

## Contact information

- **Practice address:** 8001 YOUREE DR, 370, SHREVEPORT, LA 71115-2302
- **Practice address phone:** (318) 470-9194
- **Practice address fax:** (318) 798-1424
- **Mailing address:** 8001 YOUREE DR., 370, SHREVEPORT, LA 71105
- **Mailing address phone:** (318) 470-9194
- **Mailing address fax:** (318) 798-1424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NW0100X | Women's Hospital | 9764 | LA | Yes |

## Other

- **Enumeration date:** 10/13/2016
- **Last updated:** 10/13/2016