Christus Coushatta Dental Clinic

LBN: Christus Health Central Louisiana
Christus Coushatta Dental Clinic is an health care organization with primary practice located at 1401 Industrial Dr , Coushatta LA 71019. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Christus Health Central Louisiana can be contacted via phone (318) 932-2100, or through Wilson, Monte via phone (337) 470-2100.

Contact Information

Primary practice address
1401 Industrial Dr Coushatta LA 71019
Phone: (318) 932-2100
Fax: (318) 932-2010
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Monte
Phone: (337) 470-2100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 551RHC-1 Louisiana

Profile Details

NPI number 1790767267
LBN Legal business name Christus Health Central Louisiana
DBA Doing business as Christus Coushatta Dental Clinic
Authorized official Wilson, Monte
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2005
Last updated Oct 20th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790767267 NPPES
Louisiana MEDICAID 1880795

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