National Provider Identifier Database

CHRISTUS HEALTH CENTRAL LOUISIANA
Student Health


Contact Information

CHRISTUS HEALTH CENTRAL LOUISIANA
1414 7TH AVENUE
GLENMORA, LA71433
Phone: 318-748-8974
Fax: 318-748-8986
Website:
Specialty Taxonomy Code
* Student Health 261QS1000X

* Indicates primary specialty

NPI Profile & details for CHRISTUS HEALTH CENTRAL LOUISIANA

NPI Number 1376664706
Legal business name
LBN
CHRISTUS HEALTH CENTRAL LOUISIANA
Authorized official MONTE WILSON - (CEO)
Entity Organization
Organization subpart No
Enumeration date 04/03/2007
Last updated 10/19/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • LA License #: 234
  • LA Medicaid: 1446955

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for CHRISTUS HEALTH CENTRAL LOUISIANA

There are currently no reviews for CHRISTUS HEALTH CENTRAL LOUISIANA


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