Grant Sbhc

LBN: Christus Health Central Louisiana
Grant Sbhc is an health care organization with primary practice located at 17763 Highway 167 , Dry Prong LA 71423-9205. 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) 899-5276, or through Wilson, Monte via phone (337) 470-2100.

Contact Information

Primary practice address
17763 Highway 167 Dry Prong LA 71423-9205
Fax: (318) 899-5932
Website:
Authorized official contact:
Name: Wilson, Monte

Health care specialties

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

Profile Details

NPI number 1750400586
LBN Legal business name Christus Health Central Louisiana
DBA Doing business as Grant Sbhc
Authorized official Wilson, Monte
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2007
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 1750400586 NPPES
Louisiana MEDICAID 1446971

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