Organization
BLANCHARD MEDICAL
Active
Parent organization
NORTH CADDO HOSPITAL SERVICE DISTRICT
Other names
Blanchard Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH CADDO HOSPITAL SERVICE DISTRICT
Authorized official
MR. DAKOTA ROBINSON (CFO)
(318) 375-4097
Entity
Organization
Contact information
Practice address
5948 N MARKET ST, SHREVEPORT, LA 71107-2017
(318) 375-0001
(318) 375-0002
Mailing address
5948 N MARKET ST, SHREVEPORT, LA 71107-2017
(318) 375-0001
(318) 375-0002
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2570587
—
LA
Enumeration date
10/02/2020
Last updated
01/29/2024
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