# CHRISTUS HEALTH CENTRAL LOUISIANA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHRISTUS Coushatta Rural Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871584722
- **Authorized official:** MONTE WILSON (CEO)
- **Authorized official phone:** (337) 470-2100

## Contact information

- **Practice address:** 1633 MARVEL STREET, COUSHATTA, LA 71019-9022
- **Practice address phone:** (318) 932-2081
- **Practice address fax:** (318) 932-2215
- **Mailing address:** PO BOX 847329, DALLAS, TX 75284-7329
- **Mailing address phone:** (800) 756-7999
- **Mailing address fax:** (469) 282-1791

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC0050X | Critical Access Hospital Clinic/Center | 551RHC-1 | LA | Yes |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/31/2005
- **Last updated:** 10/20/2022