Organization
CHRISTUS HEALTH CENTRAL LOUISIANA
Active
Other names
CHRISTUS Coushatta Rural Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MONTE WILSON (CEO)
(337) 470-2100
Entity
Organization
Contact information
Practice address
1633 MARVEL STREET, COUSHATTA, LA 71019-9022
(318) 932-2081
(318) 932-2215
Mailing address
PO BOX 847329, DALLAS, TX 75284-7329
(800) 756-7999
(469) 282-1791
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
551RHC-1
LA
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1443913
—
LA
Enumeration date
10/31/2005
Last updated
10/20/2022
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