Organization · Type 2 NPI

Blanchard Medical

Rural Health Clinic/Center · Shreveport, LA

NPI number 1760089791 Active

Practice location

5948 N Market St
Shreveport, LA 71107-2017

Fax (318) 375-0002

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

3 other providers at this address

NPI record

NPI: 1760089791
Entity type: Organization (Type 2)
Issued: Oct 2, 2020
Last updated: Jan 29, 2024
Status: Active
Subpart: Yes of North Caddo Hospital Service District

Other names

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Blanchard Medical · doing business as
Blanchard Medical · doing business as

Authorized official

Mr. Dakota Robinson
CFO
(318) 375-4097

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1760089791

Blanchard Medical's National Provider Identifier is 1760089791, issued on Oct 2, 2020. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Shreveport, LA. The record was last updated on Jan 29, 2024.