HIGHLAND CLINIC, A PROF MED CORP – NPI #1053315846
Clinic/Center

HIGHLAND CLINIC, A PROF MED CORP is an AHC clinic located in SHREVEPORT, LA. NPPES has assigned the NPI number 1053315846 to HIGHLAND CLINIC, A PROF MED CORP on June 09, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was last updated on Apr 01, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HIGHLAND CLINIC, A PROF MED CORP below.

NPI Profile for
HIGHLAND CLINIC, A PROF MED CORP

NPI Number
1053315846
Enumeration Date

(more than 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HIGHLAND CLINIC, A PROF MED CORP
Primary location
1455 E BERT KOUNS LOOP
SHREVEPORT, LA 71105-5634
Phone: (318) 798-4500 Fax: (318) 798-4555
1 Other location(s):
2806 Mark Dr
Monroe, LA 71201-5152
Phone: (318) 460-5127
Fax: (318) 460-1967
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DEBBIE SMITH
ADMINISTRATOR
Phone: (318) 798-4598
Updated
Certification Date
Apr 01, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for HIGHLAND CLINIC, A PROF MED CORP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidAR108413002
medicaidLA1038300
medicaidTX071428901
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)
261Q00000X
- Clinic/Center

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.