Organization
BENTON MEDICAL
Active
Organization
BENTON 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
DAKOTA JAMES ROBINSON (CFO)
(318) 375-4097
Entity
Organization
Contact information
Practice address
188 BURT BLVD, BENTON, LA 71006-4900
(318) 965-5017
(318) 965-5019
Mailing address
188 BURT BLVD, BENTON, LA 71006-4900
(318) 375-4004
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2508784
—
LA
Enumeration date
08/03/2015
Last updated
01/29/2024
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