Organization
WILLIS-KNIGHTON MEDICAL CENTER, INC.
Active
Parent organization
WILLIS-KNIGHTON MEDICAL CENTER, INC.
Other names
Bossier Ear Nose and Throat
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLIS-KNIGHTON MEDICAL CENTER, INC.
Authorized official
GREG J. GAVIN (NETWORK ADMINISTRATOR)
(318) 212-7952
Entity
Organization
Contact information
Practice address
2300 HOSPITAL DR, SUITE 320, BOSSIER CITY, LA 71111-2394
(318) 212-7952
(318) 212-7949
Mailing address
2300 HOSPITAL DR, SUITE 320, BOSSIER CITY, LA 71111-2394
(318) 212-7952
(318) 212-7949
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1450812
—
LA
Enumeration date
06/16/2006
Last updated
12/20/2011
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