Active NPI
Christus Health Central Louisiana
- Critical Access Hospital
- Coushatta, LA
National Provider Identifier
1467574202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 551
- Legal business name
- CHRISTUS HEALTH CENTRAL LOUISIANA
- Practice address
- 1635 Marvel St
Coushatta, LA 71019-9022 - Phone
- (318) 932-2000
- Fax
- (318) 932-2186
- NPI assigned
- Apr 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monte Wilson
- Title
- Ceo
- Phone
- (337) 470-2100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 551 | LA | Primary |
Addresses
Primary practice location
1635 Marvel St
Coushatta, LA 71019-9022
Mailing address
PO Box 847329
Dallas, TX 75284-7329
Phone (800) 756-7999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1949175 | Medicaid | LA |
Other names 1
- CHRISTUS Coushatta Health Care Center
National Provider Directory
National Provider Directory- Tax ID family
- St Frances Cabrini
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666224000000",
"number": "1467574202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 847329",
"city": "DALLAS",
"state": "TX",
"postal_code": "752847329",
"telephone_number": "800-756-7999",
"fax_number": "469-282-1791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 MARVEL ST",
"city": "COUSHATTA",
"state": "LA",
"postal_code": "710199022",
"telephone_number": "318-932-2000",
"fax_number": "318-932-2186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTUS HEALTH CENTRAL LOUISIANA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-04",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "MONTE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "337-470-2100"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "LA",
"license": "551",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1949175",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CHRISTUS Coushatta Health Care Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CHRISTUS Coushatta Health Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Coushatta, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.