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Christus Health Central Louisiana
Rural Health Clinic/Center in Coushatta, Louisiana
NPI 1871584722

Christus Health Central Louisiana is a Rural Health Clinic/Center based in Dallas, LA and is specialized in Rural Health. Christus Health Central Louisiana practices in Coushatta, LA. The NPI Number for Christus Health Central Louisiana is 1871584722 and holds a License No. 551RHC-1 (Louisiana).

The current practice location address for Christus Health Central Louisiana is 1633 Marvel Street, Coushatta, LA and can be reached out via phone at 318-932-2081 and via fax at 318-932-2215.

Location: 1633 Marvel Street, Coushatta, LA, 75284-7329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871584722
Provider Name
Christus Health Central Louisiana
Credential
Provider Entity Type
Organization
Address
1633 Marvel Street, Coushatta, LA, 75284-7329
Phone Number
318-932-2081
Fax Number
318-932-2215
Provider Enumeration Date
10/31/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1443913 05 LA
institution
Provider Business Practice Location Address Details
Address
1633 Marvel Street
City
Coushatta
State
Louisiana
Zip
71019-9022
Phone Number
318-932-2081
Fax Number
318-932-2215
person
Provider Business Mailing Address Details
Address
1633 Marvel Street
City
Coushatta
State
Louisiana
Zip
71019-9022
Phone Number
318-932-2081
Fax Number
318-932-2215
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Critical Access Hospital
Taxonomy
261QC0050X
License No.
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Definition
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
551RHC-1 (Louisiana)
Definition
Definition to come...
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