Community Rehabilitation Hospital of Coushatta

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

476 Issued in LA

Legal business name

COMMUNITY REHABILITATION HOSPITAL OF COUSHATTA

Practice address

1110 Ringgold Ave
Suite B
Coushatta, LA 71019-9073

Phone

(318) 932-1770

Fax

(318) 932-9515

NPI assigned

Dec 30, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Allison Cooper

Title

Administrator Ceo

Phone

(318) 932-1770

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972669026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 RINGGOLD AVE",
            "address_2": "SUITE B",
            "city": "COUSHATTA",
            "state": "LA",
            "postal_code": "710199073",
            "telephone_number": "318-932-1770",
            "fax_number": "318-932-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 RINGGOLD AVE",
            "address_2": "SUITE B",
            "city": "COUSHATTA",
            "state": "LA",
            "postal_code": "710199073",
            "telephone_number": "318-932-1770",
            "fax_number": "318-932-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY REHABILITATION HOSPITAL OF COUSHATTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "ADMINISTRATOR CEO",
        "authorized_official_telephone_number": "318-932-1770",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "LA",
            "license": "476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1702021",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christus Health Central Louisiana (CHRISTUS Coushatta Rural Health Center)
• CLD Inc (Green Meadow Haven)
• Thomas William Coleman, PA
• Wyche Taylor Coleman Jr., M.D.
• Laura Elizabeth Colvin, DPT
• James Merrill Conly, D.D.S.
• Taylor Cook
• Coushatta ER Physicians
• Jerome Cox, PHD
• Johnny Cox

• Rehabilitation Hospital in Coushatta, LA
• Providers in Coushatta, LA by specialty
• Rehabilitation Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.