Molo Middle Sbhc

LBN: Christus Health Southwestern Louisiana
Molo Middle Sbhc is an health care organization with primary practice located at 2300 Medora St , Lake Charles LA 70601-1204. 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 Southwestern Louisiana can be contacted via phone (337) 437-3977, or through Trevino, Paul via phone (409) 899-8191.

Contact Information

Primary practice address
2300 Medora St Lake Charles LA 70601-1204
Phone: (337) 437-3977
Fax: (337) 437-8203
Website:
Map and Directions
Authorized official contact:
Name: Trevino, Paul
Phone: (409) 899-8191

Health care specialties

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

Profile Details

NPI number 1205040995
LBN Legal business name Christus Health Southwestern Louisiana
DBA Doing business as Molo Middle Sbhc
Authorized official Trevino, Paul
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2007
Last updated Jul 5th, 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 1205040995 NPPES
Louisiana MEDICAID 1447161

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