Organization
CHS HEALTH SERVICES, LLC
Active
Other names
Coushatta Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
STUART CLARK (EXECUTIVE VP)
(615) 577-4927
Entity
Organization
Contact information
Practice address
287 PANTHER TRAIL DRIVE, KINDER, LA 70648
(703) 760-0700
Mailing address
5500 MARYLAND WAY, STE 400, BRENTWOOD, TN 37027-4948
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/20/2011
Last updated
02/10/2015
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