# CHRISTUS HEALTH SOUTHWESTERN LOUISIANA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** COMBRE-FONDEL ELEMENTARY SBHC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093927105
- **Authorized official:** PAUL TREVINO (CEO)
- **Authorized official phone:** (409) 899-8191

## Contact information

- **Practice address:** 2115 FITZENREITER RD, LAKE CHARLES, LA 70601-1139
- **Practice address phone:** (337) 439-0880
- **Practice address fax:** (337) 439-0887
- **Mailing address:** 524 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5725
- **Mailing address phone:** (337) 439-0880
- **Mailing address fax:** (337) 439-0887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 07/05/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1447749 | — | LA |