Organization Active NPI

Cornerstone Hospital of Bossier

  • Long Term Care Hospital
  • Bossier City, LA
National Provider Identifier
1912951112
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
567 Issued in LA
Legal business name
CORNERSTONE HOSPITAL OF BOSSIER
Doing business as
Cornerstone Hospital of Bossier City
Practice address
4900 Medical Dr
Bossier City, LA 71112-4521
Phone
(318) 747-9500
Fax
(318) 747-7878
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Authorized official

Name
Mrs. Lynn Hudson
Title
Central Business Office Director
Phone
(469) 621-6716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 567 LA Primary

Addresses

Primary practice location

4900 Medical Dr
Bossier City, LA 71112-4521

Mailing address

2200 Ross Ave
Suite 5400
Dallas, TX 75201-2708
Phone (469) 621-6700

Other identifiers 1

IdentifierTypeStateIssuer
74904MedicaidLA

Other names 1

  • Cornerstone Hospital of Bossier City Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1912951112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 ROSS AVE",
            "address_2": "SUITE 5400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012708",
            "telephone_number": "469-621-6700",
            "fax_number": "469-621-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 MEDICAL DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711124521",
            "telephone_number": "318-747-9500",
            "fax_number": "318-747-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE HOSPITAL OF BOSSIER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CENTRAL BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "469-621-6716",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "LA",
            "license": "567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74904",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Hospital of Bossier City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.