CHRISTUS HEALTH CENTRAL LOUISIANA (NPI# 1871584722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871584722 |
| Entity Type | Organization |
| Organization Name | CHRISTUS HEALTH CENTRAL LOUISIANA |
| Other Organization Name | CHRISTUS COUSHATTA RURAL HEALTH CENTER |
| Practice Address |
1633 Marvel Street Coushatta LA 71019-9022 |
| Mailing Address |
Po Box 1377 Coushatta LA 71019-1377 |
| Practice Telephone | 3189322222 |
| Practice Fax Number | 3189322186 |
| Mailing Telephone | 3189322222 |
| Mailing Fax Number | 3189322186 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2008-04-10 |
| Authorized Official Name | MRS. KAREN MIXON (CEO) |
| Authorized Official Telephone | 3189322207 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHRISTUS HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
551RHC-1 | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1443913 | 05 |
| Other Name | Type Code |
|---|---|
| CHRISTUS Coushatta Rural Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033643523 | Christus Health Central Louisiana | Clinic/Center | 415 St. Clair Road, Suite B, Boyce, LA 71409 | 2017-04-12 |
| 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 |
| 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 |
| Street Address |
1633 MARVEL STREET |
| City | COUSHATTA |
| State | LA |
| Zip Code | 71019-9022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629146006 | Esther M. Holloway, M.d., Apmc | Family Medicine | 1633 Marvel Street, Coushatta, LA 71019 | 2006-12-01 |
| 1003984493 | Wyche T. Coleman, M.d., Limited | Family Medicine | 1633 Marvel Street, Coushatta, LA 71019 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255898763 | Saint Mark Hospice and Palliative Care LLC | Hospice Care, Community Based | Saint Mark Hospice and Palliative Care LLC, 298 Army Rd, Coushatta, LA 71019 | 2019-02-21 |
| 1750824900 | Ruby Braxton | Counselor | 936 E. Carroll Street, Coushatta, LA 71019 | 2016-11-21 |
| 1447621222 | Ranette Smith | Counselor | 1414 Leigh Street, Coushatta, LA 71019 | 2015-10-19 |
| 1205157237 | Red River Parish Police Jury | Ambulance | 525 Rush Street, Coushatta, LA 71019 | 2010-06-14 |
| 1255566857 | Medcore Specialty Pharmacy | Pharmacy | 1435 E. Carroll St., Suite B, Coushatta, LA 71019 | 2009-05-27 |
| 1437346186 | Specialty Rehabilitation Hospital, L.L.C. | Rehabilitation Hospital | 1110 Ringgold Avenue, Suite B, Coushatta, LA 71019 | 2007-09-26 |
| 1679785976 | Red River Council On Aging, Inc. | Adult Companion | 1825 Front Street, Coushatta, LA 71019 | 2007-05-07 |
| 1699805515 | Red River Association for Retarded Citizens Inc | Day Training, Developmentally Disabled Services | 1908 Hwy 71 S, Coushatta, LA 71019 | 2007-03-07 |
| 1629108386 | Red River Association for Retarded Citizens Inc | Day Training, Developmentally Disabled Services | 1908 Hwy 71 South, Coushatta, LA 71019 | 2007-03-06 |
| 1245366251 | The Will of God Ministries Outreach Program | Preferred Provider Organization | 1113 Caliope Street, Coushatta, LA 71019 | 2007-02-26 |
| Find all providers in zip 71019 | ||||
| Taxonomy Code | 261QC0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Critical Access Hospital |
| An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730670258 | Hospital Service District No 1-a of The Parish of Richland State of La | Clinic/Center | 407 Cincinnati St, Delhi, LA 71232-3007 | 2018-05-21 |
Please comment or provide details below to improve the information on CHRISTUS HEALTH CENTRAL LOUISIANA.
| 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.