Willis-Knighton Medical Center Mark Richard Mainous in Bossier City - Surgical Critical Care
Willis-Knighton Medical Center Mark Richard Mainous - NPI 1720014145
Willis-Knighton Medical Center Mark Richard Mainous is a Surgical Critical Care in Bossier City, Louisiana. Willis-Knighton Medical Center Mark Richard Mainous practices all healthcare services and medical treatments related to Surgical Critical Care. The NPI Number for Willis-Knighton Medical Center Mark Richard Mainous is 1720014145. The last update date is 2022-07-21.
Willis-Knighton Medical Center Mark Richard Mainous's current location address is 2400 Hospital Dr, Bossier City, Louisiana. You can contact this provider via phone number 3182127810 and fax number 3182127815. The mailing address for Willis-Knighton Medical Center Mark Richard Mainous is 2400 Hospital Dr, Bossier City, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Willis-Knighton Medical Center Mark Richard Mainous |
|---|---|
| Address | 2400 Hospital Dr, Bossier City, Louisiana |
| Phone Number | 3182127810 |
| Fax Number | 3182127815 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | NETWORK AD |
|---|---|
| Authorized Official Name | Gavin J. Greg |
| Telephone Number | 3182127810 |
NPI Number Detail
| NPI Number | 1720014145 |
|---|---|
| Provider Enumeration Date | 2006-06-25 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 2400 Hospital Dr |
|---|---|
| City | Bossier City |
| State | Louisiana (LA) |
| Post Code | 711112385 |
| Phone Number | 3182127810 |
| Fax Number | 3182127815 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical Critical Care |
|---|---|
| Taxonomy | 2086S0102X |
|
Definition: A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specia |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Willis-Knighton Medical Center Mark Richard Mainous by the Centers for Medicare & Medicaid Services?
The Willis-Knighton Medical Center Mark Richard Mainous has been assigned the NPI (National Provider Identifier) 1720014145 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Willis-Knighton Medical Center Mark Richard Mainous?
The Willis-Knighton Medical Center Mark Richard Mainous is physically situated at 2400 Hospital Dr, in the city of Bossier City, state of LA, with the postal code 711112385.
What is Willis-Knighton Medical Center Mark Richard Mainous's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Willis-Knighton Medical Center Mark Richard Mainous's specialized field of practice is Surgical Critical Care, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0102X.
On what date was the 1720014145 assigned to Willis-Knighton Medical Center Mark Richard Mainous?
The Willis-Knighton Medical Center Mark Richard Mainous was issued its 1720014145 on 2006-06-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Willis-Knighton Medical Center Mark Richard Mainous most recently updated or revised?
The information pertaining to Willis-Knighton Medical Center Mark Richard Mainous, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-21.