CHRISTUS HEALTH CENTRAL LOUISIANA


Address: 132 Cherry St, Provencal, LA 71468
Phone: 3184728660

CHRISTUS HEALTH CENTRAL LOUISIANA (NPI# 1164687307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164687307
Entity Type Organization
Organization Name CHRISTUS HEALTH CENTRAL LOUISIANA
Other Organization Name PROVENCAL SBHC
Practice Address 132 Cherry St
Provencal
LA 71468
Mailing Address 3330 Masonic Dr
Alexandria
LA 71301-3841
Practice Telephone 3184728660
Practice Fax Number 3184728661
Mailing Telephone 3184834031
Mailing Fax Number 3184834044
Enumeration Date 2008-07-28
Last Update Date 2019-10-04
Authorized Official Name CHRISTOPHER KARAM (CEO)
Authorized Official Telephone 3184486701
Is Organization Subpart Y
Parent Organization Name CHRISTUS HEALTH

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS1000X Clinic/Center
Specialization: Student Health
234 LA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
LA 1808814 05

Other Provider/Organization Names

Other Name Type Code
CHRISTUS St. Frances Cabrini Hospital Doing Business As Name - Organization
Provencal SBHC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1033643523 Christus Health Central Louisiana Clinic/Center 415 St. Clair Road, Suite B, Boyce, LA 71409 2017-04-12
1609031962 Christus Health Central Louisiana Clinic/Center 10800 Hwy 120, Marthaville, LA 71450 2008-07-25
1356462782 Christus Health Central Louisiana Clinic/Center 200 Hwy 3110, Natchitoches, LA 71457 2007-04-03
1093836421 Christus Health Central Louisiana Clinic/Center 1207 Tioga Rd, Pineville, LA 71405-3989 2007-04-03
1902927338 Christus Health Central Louisiana Clinic/Center 7305 Highway 9, Campti, LA 71411-4137 2007-04-03
1376664706 Christus Health Central Louisiana Clinic/Center 1414 7th Avenue, Glenmora, LA 71433 2007-04-03
1023139458 Christus Health Central Louisiana Clinic/Center 207 Griffith St, Pineville, LA 71360-5267 2007-04-03
1730200163 Christus Health Central Louisiana Clinic/Center 501 Edgewood Dr, Pineville, LA 71360-4524 2007-04-03
1285755611 Christus Health Central Louisiana Clinic/Center 715 Highway 1207, Deville, LA 71328-8505 2007-04-03
1467573899 Christus Health Central Louisiana Clinic/Center 114 E Southern Ave, Jena, LA 71342-4504 2007-04-03

Office Location

Street Address 132 CHERRY ST
City PROVENCAL
State LA
Zip Code 71468

Taxonomy Information

Taxonomy Code 261QS1000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Student Health

Taxonomy Definition

Definition to come...

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1992093132 Health Care Centers In Schools Clinic/Center 10650 Avenue F, Baton Rouge, LA 70807-2501 2011-07-20
1386961977 Ehret School Based Health Center Clinic/Center 4300 Patriot St, Marrero, LA 70072-4305 2010-04-23
1043443682 Bonnabel Sbhc Clinic/Center 2801 Bruin Drive, Kenner, LA 70065 2009-08-31
1437302288 St Francis Richwood School Based Health Center Clinic/Center 5901 Highway 165 Byp, Monroe, LA 71202-7236 2008-10-24
1609031962 Christus Health Central Louisiana Clinic/Center 10800 Hwy 120, Marthaville, LA 71450 2008-07-25
1679758890 Avoyelles Parish School Board Clinic/Center 148 S Fair Street, Marksville, LA 71351 2008-01-07
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Competitor

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City PROVENCAL
Zip Code 71468

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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