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Contact Information

COUSHATTA TRIBE OF LOUISIANA
2003 C C BEL RD
ELTON, LA70532-5318
 Phone: 337-584-1439
 Fax: 337-584-1486
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for COUSHATTA TRIBE OF LOUISIANA

NPI Number 1679038830
LBN Legal business name COUSHATTA TRIBE OF LOUISIANA
Authorized official RONALD FUSELIER - (PHARMACIST IN CHARGE)
Entity Organization
Organization subpart 1 No
Enumeration date 02/01/2019
Last updated 05/26/2020 - About 6 years ago
Identifiers n/a
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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