WILLIS KNIGHTON MEDICAL CENTER, INC.


Address: 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119
Phone: 3182125003

WILLIS KNIGHTON MEDICAL CENTER, INC. (NPI# 1124170691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124170691
Entity Type Organization
Organization Name WILLIS KNIGHTON MEDICAL CENTER, INC.
Other Organization Name WILLIS KNIGHTON SOUTH HOSPITAL
Practice Address 2510 Bert Kouns Industrial Loop
Shreveport
LA 71118-3119
Practice Telephone 3182125003
Practice Fax Number 3182125005
Mailing Telephone 3182125003
Mailing Fax Number 3182125005
Enumeration Date 2007-01-17
Last Update Date 2020-08-22
Authorized Official Name MRS. STACY H ALEXANDER (CONTROLLER)
Authorized Official Telephone 3182124877
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282N00000X General Acute Care Hospital 232-A LA Hospitals

Other Provider/Organization Names

Other Name Type Code
Willis Knighton South Hospital Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1710039896 Willis Knighton Medical Center, Inc. Rehabilitation Unit 1111 Line Avenue, Shreveport, LA 71101 2007-01-17
1144267451 Willis Knighton Medical Center, Inc. Skilled Nursing Facility 2550 Kings Hwy, Shreveport, LA 71103-3922 2006-06-02
1730645201 Willis Knighton Medical Center, Inc. Clinic/Center 2600 Greenwood Rd, Shreveport, LA 71103-3908 2019-02-20
1003020579 Willis Knighton Medical Center, Inc. Clinic/Center 1111 Line Avenue, Shreveport, LA 71101 2007-05-10
1912059932 Willis Knighton Medical Center, Inc. Psychiatric Unit 1111 Line Avenue, Shreveport, LA 71101 2007-01-18
1003968579 Willis Knighton Medical Center, Inc. General Acute Care Hospital 2400 Hospital Dr, Bossier City, LA 71111-2385 2007-01-17
1275685539 Willis Knighton Medical Center, Inc. General Acute Care Hospital 8001 Youree Dr, Shreveport, LA 71115-2302 2007-01-17
1487693149 Willis Knighton Medical Center, Inc. Hospice Care, Community Based 3300 Albert L Bicknell Dr, Suite 3, Shreveport, LA 71103-3903 2006-06-06
1326093782 Willis Knighton Medical Center, Inc. Home Health 3300 Albert L Bicknell Dr, Suite 4, Shreveport, LA 71103-3903 2006-05-24
1568461572 Willis Knighton Medical Center, Inc. General Acute Care Hospital 2600 Greenwood Rd, Shreveport, LA 71103-3908 2005-07-20

Office Location

Street Address 2510 BERT KOUNS INDUSTRIAL LOOP
City SHREVEPORT
State LA
Zip Code 71118-3119

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003882820 Billy B Miller IIi Nurse Anesthetist, Certified Registered 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 2006-02-23
1417367616 Sarah Hatfield Nurse Practitioner 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 2014-04-28
1164740262 Craig Chu Pediatrics 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 2010-05-13
1629201538 Sharon Tran Pediatrics 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 2009-08-25
1295981363 Wk Behavioral Health Services Psychiatry & Neurology 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 2008-08-08
1578774881 Aja Welch Menard Psychiatry & Neurology 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 2007-05-25
1558486746 Michael J Sullivan Emergency Medicine 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 2007-03-20
1649309345 John J Felty Emergency Medicine 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118 2007-03-06
1215094040 Patrick Timothy Gallagher Sr. Emergency Medicine 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 2007-01-02
1285666487 Gerald Brent Whitton Pediatrics 2510 Bert Kouns Industrial Loop, Room 215, Shreveport, LA 71118-3119 2006-07-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720620784 Wk Center for Pediatric Gastroenterology Pediatrics Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118 2019-10-11
1306302443 Diamond Marie Willis Case Manager/Care Coordinator 9403 Mansfield Rd., Shreveport, LA 71118 2019-02-13
1194224469 Latosa Hall Case Manager/Care Coordinator 9007 Letha Loop, Shreveport, LA 71118 2018-02-01
1902321623 Bersheika Lashay Player Counselor 9403 Mansfield Road, Shreveport, LA 71118 2017-08-03
1518487149 Clarke Jackson Case Manager/Care Coordinator 9730 Baird Rd Apt 2310, Shreveport, LA 71118 2017-06-24
1770010449 Darrie'l Smith Counselor 2715 Mackey, Shreveport, LA 71118 2017-05-12
1760917041 Delilah Wells Case Manager/Care Coordinator 9005 Walker Rd Apt 722, Shreveport, LA 71118 2017-04-25
1790229664 We Care Transporttion Services LLC Secured Medical Transport (VAN) 2529 Summer Grove Dr, Shreveport, LA 71118 2016-12-13
1063955128 Commanisha Smith Social Worker 2715 Mackey Place, Shreveport, LA 71118 2016-11-22
1023560802 Yasmin Newman Counselor 9812 West Trails End, Shreveport, LA 71118 2016-10-27
Find all providers in zip 71118

Taxonomy Information

Taxonomy Code 282N00000X
Grouping Hospitals
Classification General Acute Care Hospital

Taxonomy Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902310899 Islam LLC General Acute Care Hospital 9815 Paragon Ln, Shreveport, LA 71115 2017-11-30
1396073409 Nelson & Nelson Apmc General Acute Care Hospital 9512 Balsa Dr, Shreveport, LA 71115-3127 2009-12-01
1912909912 Brfhh Shreveport LLC General Acute Care Hospital 1541 Kings Hwy, Shreveport, LA 71103-4228 2005-08-10
1417950106 Christus Health Northern Louisiana General Acute Care Hospital 1453 E Bert Kouns Industrial Loop, Shreveport, LA 71105-6800 2005-05-27
1366064016 The Carpenter Center for Palliative Medicine of Shreveport, LLC General Acute Care Hospital 8950 E Kings Hwy, Shreveport, LA 71115-2704 2020-05-15
1427536325 University Health Shreveport LLC General Acute Care Hospital 1541 Kings Hwy, Shreveport, LA 71103-4228 2018-08-02
1386034387 Obvamc General Acute Care Hospital 510 E Stoner Ave, Shreveport, LA 71101-4243 2015-01-28
1871927921 Brfhh Shreveport, LLC General Acute Care Hospital 1541 Kings Hwy, Shreveport, LA 71103-4228 2013-08-26
1346585312 Overton Brooks Va Medical Center General Acute Care Hospital 510 E Stoner Ave, Shreveport, LA 71101-4243 2012-12-03
1295974574 Overton Brooks Vamc General Acute Care Hospital 510 E Stoner Ave, Shreveport, LA 71101-4243 2009-02-11
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Competitor

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City SHREVEPORT
Zip Code 71118

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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