CHRISTUS HEALTH CENTRAL LOUISIANA; NPI #1790767267

Contact Information

CHRISTUS HEALTH CENTRAL LOUISIANA

1401 INDUSTRIAL DR
COUSHATTA, LA 71019

Phone: 318-932-2100
Fax: 318-932-2010
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental	261QD0000X

Indicates primary specialty

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NPI Profile & details for CHRISTUS HEALTH CENTRAL LOUISIANA

NPI Number 1790767267

LBN Legal business name CHRISTUS HEALTH CENTRAL LOUISIANA

Authorized official MONTE WILSON - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/18/2005

Last updated 10/20/2022 - About 4 years ago

Identifiers

LA	License #	551RHC-1
LA	Medicaid	1880795

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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