Organization
CHRISTUS HEALTH NORTHERN LOUISIANA
Active
Other names
CHRISTUS INPATIENT REHABILITATION CENTER SHREVEPORT-BOSSIER
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS STEEN TRAWICK (CEO)
(318) 681-5054
Entity
Organization
Contact information
Practice address
1035 MARGARET PL, SHREVEPORT, LA 71101-4315
(318) 681-4900
(318) 681-4427
Mailing address
PO BOX 843577, DALLAS, TX 75284-3577
(800) 756-7999
(469) 282-1791
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60952
BLUE CROSS
LA
Enumeration date
06/21/2006
Last updated
10/20/2021
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