Provencal Sbhc

LBN: Christus Health Central Louisiana
Provencal Sbhc is an health care organization with primary practice located at 132 Cherry St , Provencal LA 71468. The organization recently has only one registered license in Ambulatory Health Care Facilities / Student Health, which is considered as the primary health care specialty. Christus Health Central Louisiana can be contacted via phone (318) 472-8660, or through Wilson, Monte via phone (337) 470-2100.

Contact Information

Primary practice address
132 Cherry St Provencal LA 71468
Phone: (318) 472-8660
Fax: (318) 472-8661
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Monte
Phone: (337) 470-2100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Student Health 261QS1000X 234 Louisiana

Profile Details

NPI number 1164687307
LBN Legal business name Christus Health Central Louisiana
DBA Doing business as Provencal Sbhc
Authorized official Wilson, Monte
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 28th, 2008
Last updated Oct 19th, 2022 - about 2 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 1164687307 NPPES
Louisiana MEDICAID 1808814

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