Organization
WILLOW BEND EMERGENCY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISHA FALK (VP OF CONTRACTING)
(337) 609-1221
Entity
Organization
Contact information
Practice address
130 HIGHLAND PKWY, PICAYUNE, MS 39466-5574
(601) 358-9400
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02407308
—
MS
Enumeration date
06/04/2019
Last updated
03/23/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us