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Highland Clinic, A Prof Med Corp

Multi-Specialty Clinic/Center in Shreveport, LA · enumerated 2005 · authorized official Michael Gustavson, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053315846

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Registry record

Entity type Organization (Type 2)
Legal business name Highland Clinic, A Prof Med Corp
Practice address 1455 E Bert Kouns Loop, Shreveport, LA, 71105
Phone (318) 798-4500
Fax (318) 798-4555
Enumeration date Jun 9, 2005
Last updated in NPPES Jun 2, 2026

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities Secondary
261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Michael Gustavson
Title Administrator
Phone (318) 798-4465

Other identifiers

Identifier Type State Issuer
1038300 Medicaid LA -
108413002 Medicaid AR -
071428901 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Highland Clinic, A Prof Med Corp?
The NPI for Highland Clinic, A Prof Med Corp is 1053315846, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Highland Clinic, A Prof Med Corp?
NPPES lists Michael Gustavson (Administrator) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-02.