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CHRISTUS HEALTH CENTRAL LOUISIANA

Student Health

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Contact Information

CHRISTUS HEALTH CENTRAL LOUISIANA
1414 7TH AVENUE
GLENMORA, LA  71433
 Phone: 318-748-8974
 Fax: 318-748-8986
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Student Health

 261QS1000X
Indicates primary specialty

NPI Profile & details for CHRISTUS HEALTH CENTRAL LOUISIANA

NPI # 1376664706
LBN Legal business name CHRISTUS HEALTH CENTRAL LOUISIANA
Authorized official MONTE WILSON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2007
Last updated 10/19/2022 - About 4 years ago
Identifiers
LA License # 234
LA Medicaid 1446955
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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