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Contact Information

SOUTH BOSSIER MEDICAL
5668 BARKSDALE BLVD
BOSSIER CITY, LA71112
 Phone: 318-735-1800
 Fax: 318-725-4960
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for SOUTH BOSSIER MEDICAL

NPI # 1649993585
LBN Legal business name SOUTH BOSSIER MEDICAL
Authorized official DAVID JONES - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/26/2022
Last updated 12/09/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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