Bossier Specialty Hospital LLC

Primary specialty

Special HospitalTaxonomy code 284300000X

License

29570 Issued in LA

Legal business name

BOSSIER SPECIALTY HOSPITAL LLC

Practice address

2105 Airline Dr
Bossier City, LA 71111-3105

Phone

(318) 549-2011

Fax

(318) 549-2077

NPI assigned

Apr 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Debra Sue Huffman, MHA

Title

VP Managed Care Services

Phone

(636) 549-2384

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Musculoskeletal Institute of Louisiana, LLC

  • Orthopaedic Surgery Physician
  • Bossier City, LA
  • NPI 1265616130

  Member Of

  NPD member

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Bossier Specialty Hospital ,LLC

  • General Acute Care Hospital
  • Bossier City, LA
  • NPI 1821223991
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Michael Ribaudo, MD

  • Anesthesiology Physician
  • Davis, CA
  • NPI 1467629436
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750345419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 AIRLINE DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113105",
            "telephone_number": "318-549-2011",
            "fax_number": "318-549-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 AIRLINE DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113105",
            "telephone_number": "318-549-2011",
            "fax_number": "318-549-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSSIER SPECIALTY HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "VP MANAGED CARE SERVICES",
        "authorized_official_telephone_number": "636-549-2384",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "LA",
            "license": "29570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1702650",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bossier Parish School Board
• Bossier Parish School Board
• Bossier Riverview LLC (Riverview Care Center)
• Bossier SCC LLC (SCC of Pilgrim Manor Rehabilitation Center)
• Bossier Specialty Hospital ,LLC
• Bossier Surgical Associates Apmc
• La Tisha P. Bowie, PHARM D
• Jonathan Bowling
• Bowman Family Medicine Clinic, LLC
• Corine H. Bowman, MD

• Special Hospital in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Special Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.