Organization
WILLIS KNIGHTON MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY H ALEXANDER (CONTROLLER)
(318) 212-4877
Entity
Organization
Contact information
Practice address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
(318) 212-4877
(318) 212-4192
Mailing address
PO BOX 32600, SHREVEPORT, LA 71130-2600
(318) 212-4877
(318) 212-4192
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
232
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1747572
—
LA
Enumeration date
07/20/2005
Last updated
08/22/2020
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