Organization
CHRISTUS HEALTH CENTRAL LOUISIANA
Active
Other names
CHRISTUS Coushatta Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MONTE WILSON (CEO)
(337) 470-2100
Entity
Organization
Contact information
Practice address
1635 MARVEL ST, COUSHATTA, LA 71019-9022
(318) 932-2000
(318) 932-2186
Mailing address
PO BOX 847329, DALLAS, TX 75284-7329
(800) 756-7999
(469) 282-1791
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
551
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1766283
—
LA
01
—
60870
BLUE CROSS/BLUE SHIELD HOSPITAL #
LA
01
—
H0370
LA BCBS
LA
Enumeration date
10/12/2005
Last updated
10/20/2022
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