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Organization

CHG HOSPITAL BOSSIER CITY, LLC

Active
Other names
Cornerstone Specialty Hospitals Bossier City
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY TEAGUE (VICE PRESIDENT, CORPORATE SECRETARY)
(629) 253-5121
Entity
Organization

Contact information

Practice address
4900 MEDICAL DR, BOSSIER CITY, LA 71112-4521
(318) 747-9500
(318) 747-7878
Mailing address
2200 ROSS AVE, SUITE 5400, DALLAS, TX 75201-2708
(469) 621-6700
(469) 621-6678

Taxonomy

Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
2203782348
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1749044
LA
Enumeration date
01/21/2015
Last updated
03/08/2024
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