CHRISTUS HEALTH CENTRAL LOUISIANA; NPI #1750400586

Contact Information

CHRISTUS HEALTH CENTRAL LOUISIANA

17763 HIGHWAY 167
DRY PRONG, LA 71423-9205

Phone: 318-899-5276
Fax: 318-899-5932
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Student Health	261QS1000X

Indicates primary specialty

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NPI Profile & details for CHRISTUS HEALTH CENTRAL LOUISIANA

NPI Number 1750400586

LBN Legal business name CHRISTUS HEALTH CENTRAL LOUISIANA

Authorized official MONTE WILSON - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/29/2007

Last updated 10/19/2022 - About 4 years ago

Identifiers

LA	License #	234
LA	Medicaid	1446971

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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