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Organization
CHRISTUS HEALTH CENTRAL LOUISIANA
Active
Organization
CHRISTUS HEALTH CENTRAL LOUISIANA
Active
Other names
Tioga High SBHC
Organization subpart
No
Provider details
NPI number
Authorized official
MONTE WILSON (CEO)
(337) 470-2100
Entity
Organization
Contact information
Practice address
1207 TIOGA RD, PINEVILLE, LA 71405-3989
(318) 640-2298
(318) 640-3383
Mailing address
3330 MASONIC DR, ALEXANDRIA, LA 71301-3841
(318) 483-4031
(318) 483-4044
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
234
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1446840
—
LA
Enumeration date
04/03/2007
Last updated
10/20/2022
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