Organization
WILLIS KNIGHTON MEDICAL CENTER, INC.
Active
Other names
Willis Knighton South Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY H ALEXANDER (CONTROLLER)
(318) 212-4877
Entity
Organization
Contact information
Practice address
2510 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118-3119
(318) 212-5003
(318) 212-5005
Mailing address
2510 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118-3119
(318) 212-5003
(318) 212-5005
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
232-A
LA
Other
Enumeration date
01/17/2007
Last updated
08/22/2020
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