Organization Name: | CHRISTUS HEALTH CENTRAL LOUISIANA |
NPI Number: | 1164687307 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN WRIGHT (REGIONAL PRESIDENT & CEO) |
Mailing Address: | 155 Schoolhouse Rd Cloutierville |
State: | LA US |
Postal Code: | 714162013 |
Phone Number: | 3183791703 |
Fax Number: | 3183791716 |
NPI Enumeration Date: | 07/28/2008 |
NPI Last Update Date: | 07/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1000X |
License Number: | 234 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Student Health |
Taxonomy Definition: |