# CHRISTUS HEALTH CENTRAL LOUISIANA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jena Junior High SBHC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467573899
- **Authorized official:** MONTE WILSON (CEO)
- **Authorized official phone:** (337) 470-2100

## Contact information

- **Practice address:** 114 E SOUTHERN AVE, JENA, LA 71342-4504
- **Practice address phone:** (318) 992-2732
- **Practice address fax:** (318) 992-2777
- **Mailing address:** 3330 MASONIC DR, ALEXANDRIA, LA 71301-3841
- **Mailing address phone:** (318) 483-4031
- **Mailing address fax:** (318) 483-4044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | 234 | LA | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 10/19/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1446874 | — | LA |