NPIMap

Organization Active NPI

Christus Health Central Louisiana

  • Medicare Defined Swing Bed Hospital Unit
  • Coushatta, LA
National Provider Identifier
1679555148
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
551 Issued in LA
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
Nov 18, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Monte Wilson
Title
Ceo
Phone
(337) 470-2100

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 47

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 47

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 47

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110615000450 LA Part a Provider - Critical Access Hospital 4688570955 Receives reassigned benefits from 2 practitioners
Practice locations: Coushatta, LA

Hospital certification: CCN 19Z312

Medicare enrollment files
Legal name
CHRISTUS HEALTH CENTRAL LOUISIANA
Doing business as
CHRISTUS COUSHATTA HEALTH CARE CENTER
Organization structure
CorporationNon-profit
Incorporated
Nov 19, 1946 in LA
Enrollment address
1635 Marvel St
Coushatta, LA 71019-9022
Other Hospital Practice Location

All disclosed owners & managing parties 7

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jason Miller Individual Corporate OfficerCfo Aug 28, 2023
Christus Health Organization, Irving, TX Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 1, 1999 100%
Ernie Sadau Individual Other Mar 1, 2011
Aloysia C Ducote Individual Corporate Director Jan 1, 2014
Sonia Acosta Individual Corporate Director Sep 16, 2024
Monte Wilson Individual Corporate OfficerCeo May 12, 2021
W-2 Managing EmployeeCeo May 12, 2021
Fadi V Nasrallah Individual Corporate DirectorBoard Member Feb 22, 2024

National Provider Directory

National Provider Directory
Tax ID family
St Frances Cabrini11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 551 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

1635 Marvel St
Coushatta, LA 71019-9022

Mailing address

PO Box 847329
Dallas, TX 75284-7329
Phone (800) 756-7999

Other names 1

NPPES NPI Registry
  • CHRISTUS Coushatta Health Care Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 20, 2022.

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1679555148",
    "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": "2005-11-18",
        "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": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "LA",
            "license": "551",
            "primary": true
        }
    ],
    "identifiers": [],
    "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

Verify at the official NPI Registry.