CHRISTUS HEALTH SOUTHWESTERN LOUISIANA


Address: 2300 Medora Street, Lake Charles, LA 70601
Phone: 3374373977

CHRISTUS HEALTH SOUTHWESTERN LOUISIANA (NPI# 1205040995) 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) 1205040995
Entity Type Organization
Organization Name CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
Other Organization Name MOLO MIDDLE SBHC
Practice Address 2300 Medora Street
Lake Charles
LA 70601
Practice Telephone 3374373977
Practice Fax Number 3374395029
Mailing Telephone 3374373977
Mailing Fax Number 3374395029
Enumeration Date 2007-05-10
Last Update Date 2014-08-20
Authorized Official Name MR. STEPHEN F. WRIGHT (PRESIDENT & CEO)
Authorized Official Telephone 3185617192
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
LA 1447161 05

Other Provider/Organization Names

Other Name Type Code
Molo Middle SBHC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1710191473 Christus Health Southwestern Louisiana Clinic/Center 100 N Prater, Lake Charles, LA 70601 2007-05-10
1407068299 Christus Health Southwestern Louisiana Clinic/Center 753 Oak Grove Highway, Grand Chenier, LA 70632 2007-05-04
1376755454 Christus Health Southwestern Louisiana Clinic/Center 2802 Pineview Street, Lake Charles, LA 70615 2007-05-03
1093927105 Christus Health Southwestern Louisiana Clinic/Center 2115 Fitzenreiter Road, Lake Charles, LA 70601 2007-05-03
1629076468 Christus Health Southwestern Louisiana General Acute Care Hospital 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 2005-07-13
1548796378 Christus Health Southwestern Louisiana General Acute Care Hospital 4200 Nelson Rd, Lake Charles, LA 70605-4118 2017-05-11
1104267301 Christus Health Southwestern Louisiana Neurological Surgery 1614 Wolf Cir, Lake Charles, LA 70605-2348 2013-07-16
1588784649 Christus Health Southwestern Louisiana General Acute Care Hospital 524 S Ryan St, Lake Charles, LA 70601-5725 2007-03-30
1861491375 Christus Health Southwestern Louisiana Psychiatric Unit 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 2005-07-18
1801895644 Christus Health Southwestern Louisiana Rehabilitation Unit 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 2005-07-14

Office Location

Street Address 2300 MEDORA STREET
City LAKE CHARLES
State LA
Zip Code 70601

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144833872 Fresenius Medical Care Sulphur, LLC Clinic/Center 330 Chavanne Street, Lake Charles, LA 70601 2020-08-24
1174158844 Andrea Cormier Peer Specialist 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 2020-03-03
1588297303 Vivian Claire Miller Monceaux Chiropractor 780 Bayou Pines East Drive, Lake Charles, LA 70601 2020-02-20
1568001014 Swla Center for Health Services Clinic/Center 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 2020-01-02
1417512070 Ryan Nathaniel Vaisler Student in an Organized Health Care Education/Training Program 1525 Oak Park Blvd., Lake Charles, LA 70601 2019-05-08
1336600675 Hoh Palliative Care, LLC Family Medicine 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 2019-03-28
1073079026 Alawrass LLC Pharmacy 803 E Prien Lake Rd, Lake Charles, LA 70601 2019-02-14
1861962722 Ellaweena Woods Counselor 1409 Kirkman St., Lake Charles, LA 70601 2018-12-04
1770051963 Hanna Marie Rodriguez Counselor 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 2018-11-06
1023585213 Shandora Druilhet Case Manager/Care Coordinator 751 E Bayou Pines, Lake Charles, LA 70601 2018-10-26
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Taxonomy Information

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

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710191473 Christus Health Southwestern Louisiana Clinic/Center 100 N Prater, Lake Charles, LA 70601 2007-05-10
1376755454 Christus Health Southwestern Louisiana Clinic/Center 2802 Pineview Street, Lake Charles, LA 70615 2007-05-03
1093927105 Christus Health Southwestern Louisiana Clinic/Center 2115 Fitzenreiter Road, Lake Charles, LA 70601 2007-05-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275130486 Glencoe Education Foundation Clinic/Center 4491 Highway 83, Franklin, LA 70538-7500 2020-10-01
1013472646 New Orleans Job Corps Center Clinic/Center 8825 Airline Hwy, New Orleans, LA 70118-3439 2019-02-07
1225488562 Carver Community Clinic, LLC Clinic/Center 3059 Higgins Blvd, New Orleans, LA 70126-5422 2016-06-17
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
1164687307 Christus Health Central Louisiana Clinic/Center 132 Cherry St, Provencal, LA 71468 2008-07-28
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 LAKE CHARLES
Zip Code 70601

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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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