Organization
BOSSIER SPECIALTY HOSPITAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA SUE HUFFMAN MHA (VP MANAGED CARE SERVICES)
(636) 549-2384
Entity
Organization
Contact information
Practice address
2105 AIRLINE DR, BOSSIER CITY, LA 71111-3105
(318) 549-2011
(318) 549-2077
Mailing address
2105 AIRLINE DR, BOSSIER CITY, LA 71111-3105
(318) 549-2011
(318) 549-2077
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
29570
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1702650
—
LA
Enumeration date
04/12/2006
Last updated
08/22/2020
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