Organization
SOUTH BOSSIER MEDICAL
Active
Parent organization
NORTH CADDO HOSPITAL SERVICE DISTRICT
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH CADDO HOSPITAL SERVICE DISTRICT
Authorized official
DAVID JONES (CEO)
(318) 375-4001
Entity
Organization
Contact information
Practice address
5668 BARKSDALE BLVD, BOSSIER CITY, LA 71112
(318) 735-1800
(318) 725-4960
Mailing address
5260 BARKSDALE BLVD, BOSSIER CITY, LA 71112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
12/09/2024
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