Organization
CHRISTUS HEALTH CENTRAL LOUISIANA
Active
Other names
CHRISTUS Coushatta Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MONTE WILSON (CEO)
(337) 470-2100
Entity
Organization
Contact information
Practice address
1401 INDUSTRIAL DR, COUSHATTA, LA 71019
(318) 932-2100
(318) 932-2010
Mailing address
PO BOX 847329, DALLAS, TX 75284-7329
(800) 756-7999
(469) 282-1791
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
551RHC-1
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1880795
—
LA
Enumeration date
11/18/2005
Last updated
10/20/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us