| Organization Name: | CHRISTUS HEALTH NORTHERN LOUISIANA |
| NPI Number: | 1003852773 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES J. PAINE (PRESIDENT & CEO) |
| Mailing Address: | 1 Saint Mary Pl Shreveport |
| State: | LA US |
| Postal Code: | 711014343 |
| Phone Number: | 3186814500 |
| Fax Number: | 3186814177 |
| NPI Enumeration Date: | 06/21/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | ADHC 2454 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |