Highland Clinic, A Prof Med Corp

LBN: Highland Clinic, A Prof Med Corp
Highland Clinic, A Prof Med Corp is an health care organization with primary practice located at 1455 E Bert Kouns Loop , Shreveport LA 71105-5634. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Highland Clinic, A Prof Med Corp can be contacted via phone (318) 798-4500, or through Smith, Debbie W. via phone (318) 798-4598.

Contact Information

Primary practice address
1455 E Bert Kouns Loop Shreveport LA 71105-5634
Phone: (318) 798-4500
Fax: (318) 798-4555
Website:
Map and Directions
Authorized official contact:
Name: Smith, Debbie W.
Phone: (318) 798-4598

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1053315846
LBN Legal business name Highland Clinic, A Prof Med Corp
DBA Doing business as
Authorized official Smith, Debbie W.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2005
Last updated Dec 11th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053315846 NPPES
Louisiana MEDICAID 1038300
Louisiana MEDICAID 108413002
Louisiana MEDICAID 071428901

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