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CANCER INSTITUTE OF NORTHERN LOUISIANA MEDICAL CENTER
NPI 1063630382
Internal Medicine - Medical Oncology in Ruston, LA

Active since April 23, 2007CLIA 19D1016575 · Waiver
401 E VAUGHN AVE, RUSTON, LA 71270(318) 254-2100 Get Directions Write a Review

NPPES record last updated: February 26, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cancer Institute Of Northern Louisiana Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANCER INSTITUTE OF NORTHERN LOUISIANA MEDICAL CENTER (NPI 1063630382) is a healthcare organization registered as a medical oncology in Ruston, Louisiana and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through February 28, 2027 and lists Debbie Brewer, Director, as its authorized official.

NPPES Registry Identity

NPI1063630382
Entity TypeOrganization
Primary Taxonomy207RX0202X
Legal Business NameRUSTON LOUISIANA HOSPITAL COMPANY LLC
Location Address401 E VAUGHN AVERuston, LA 71270-5950
Mailing Address7100 Commerce Way, Suite 180Brentwood, TN 37027-2829 · (877) 892-9813 · Fax (615) 465-3007
Phone(318) 254-2100
Organization SubpartNo
Authorized OfficialDebbie BrewerDirector · (877) 892-9813
Enumeration DateApril 23, 2007
Last NPPES UpdateFebruary 26, 2008
✔ NPI 1063630382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in LA · 08523R
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
401 E VAUGHN AVE, Ruston, LA 71270
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Other Names 1

Doing Business AsCancer Institute Of Northern Louisiana Medical Center

Other Identifiers 1

Medicare PIN5CY03LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D1016575

Ruston Louisiana Hospital Company LLC Ruston Louisiana Hospital Company LLC · Ruston, LA
Active · expires Feb 28, 2027
CLIA Number19D1016575
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorMollie Devening
Laboratory Phone(318) 254-2469
Laboratory LocationRuston Louisiana Hospital Company LLC Ruston Louisiana Hospital Company LLC1118 Farmerville Street, Ruston, LA 71270
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARENA ANESTHESIA LLC
Anesthesiology
401 E VAUGHN AVE
RUSTON, LA 71270
Lincoln Parish (660) 826-5960
CHRISTOPHER E LANCASTER CRNA
Nurse Anesthetist, Certified Registered
401 E VAUGHN AVE
RUSTON, LA 71270
Lincoln Parish (318) 254-2454
RUSTON LOUISIANA HOSPITAL COMPANY
Emergency Medicine
401 E VAUGHN AVE
RUSTON, LA 71270
Lincoln Parish (615) 465-7016
JANIE CONSTANCE HILL CRNA
Nurse Anesthetist, Certified Registered
401 E VAUGHN AVE
RUSTON, LA 71270
Lincoln Parish (318) 254-2557
MR. KEITH OWEN BREAUX NP
Nurse Practitioner
401 E VAUGHN AVE
RUSTON, LA 71270
Lincoln Parish (318) 254-2100
MR. GREGORY ALLEN STRICKLAND JR. CRNA
Nurse Anesthetist, Certified Registered
401 E VAUGHN AVE
RUSTON, LA 71270
Lincoln Parish (318) 254-2557
LGH ONCOLOGY CLINIC
Internal Medicine (Hematology & Oncology)
401 E VAUGHN AVE
RUSTON, LA 71270
Lincoln Parish (318) 254-2100
DR. ALLIE BLACKWOOD DNP, CRNA
Nurse Anesthetist, Certified Registered
401 E VAUGHN AVE
RUSTON, LA 71270
Lincoln Parish (662) 588-7123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ruston Louisiana Hospital Company LLC's NPI number?

The NPI number for Ruston Louisiana Hospital Company LLC is 1063630382. It was assigned to this organization in the NPPES registry on April 23, 2007. The provider is doing business as Cancer Institute Of Northern Louisiana Medical Center.

Where is Ruston Louisiana Hospital Company LLC located?

Ruston Louisiana Hospital Company LLC is located at 401 E Vaughn Ave, Ruston, LA 71270. The listed phone number is (318) 254-2100.

What is Ruston Louisiana Hospital Company LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Does Ruston Louisiana Hospital Company LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D1016575) is associated with this NPI, valid through February 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ruston Louisiana Hospital Company LLC was last updated on February 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.