Integra Health Services Professional Corporation
NPI 1861915415 · Internal Medicine Physician · Coushatta, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Integra Health Services Professional Corporation is a Internal Medicine Physician organization in Coushatta, LA (NPI 1861915415).
Provider details
- NPI number
- 1861915415
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gavin Chico, Md/Owner(318) 780-6230
- License
- MD.11956R (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Hospitals
Hospitals
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 4900 Medical DrBossier City, LA 71112-4521Phone: (318) 798-4606Fax: (318) 798-4601
- 1110 Ringgold AveCoushatta, LA 71019-9000Phone: (318) 798-4606Fax: (318) 798-4601
Registry dates
- Enumerated
- 2017-07-25
- Last updated
- 2018-03-17
Frequently asked questions
- What is Integra Health Services Professional Corporation's NPI number?
- Integra Health Services Professional Corporation's National Provider Identifier (NPI) is 1861915415, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Integra Health Services Professional Corporation?
- Integra Health Services Professional Corporation is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Integra Health Services Professional Corporation located?
- Integra Health Services Professional Corporation's practice location on file with NPPES is 1110 Ringgold Ave Ste B, Coushatta, LA 71019-9004.
- What is Integra Health Services Professional Corporation's phone number?
- The practice phone number listed in the NPPES registry for Integra Health Services Professional Corporation is (318) 798-4606.
- Does Integra Health Services Professional Corporation accept Medicare?
- Integra Health Services Professional Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Integra Health Services Professional Corporation?
- The authorized official listed on Integra Health Services Professional Corporation's NPPES record is Gavin Chico, Md/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Integra Health Services Professional Corporation's NPI active?
- Yes — Integra Health Services Professional Corporation's NPI (1861915415) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.