# CHRISTUS HEALTH SOUTHWESTERN LOUISIANA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOUTH CAMERON HIGH SBHC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407068299
- **Authorized official:** PAUL TREVINO (CEO)
- **Authorized official phone:** (409) 899-8191

## Contact information

- **Practice address:** 753 OAK GROVE HWY, GRAND CHENIER, LA 70643-3242
- **Practice address phone:** (337) 542-4441
- **Practice address fax:** (337) 542-4588
- **Mailing address:** 524 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5725
- **Mailing address phone:** (337) 542-4441
- **Mailing address fax:** (337) 542-4588

## Taxonomy

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

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 07/05/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1447404 | — | LA |