| Christus Health Central Louisiana | |
|
415 Saint Clair Rd Ste B Boyce LA 71409-9007 | |
| (318) 528-3223 | |
| (318) 528-3224 |
| Full Name | Christus Health Central Louisiana |
|---|---|
| Speciality | Clinic/Center |
| Location | 415 Saint Clair Rd Ste B, Boyce, Louisiana |
| Authorized Official Name and Position | Monte Wilson (CEO) |
| Authorized Official Contact | 3374702100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christus Health Central Louisiana Po Box 847329 Dallas TX 75284-7329 Ph: (800) 756-7999 | Christus Health Central Louisiana 415 Saint Clair Rd Ste B Boyce LA 71409-9007 Ph: (318) 528-3223 |
| NPI Number | 1033643523 |
|---|---|
| Provider Enumeration Date | 04/12/2017 |
| Last Update Date | 10/20/2022 |
| Medicare PECOS PAC ID | 4688570955 |
|---|---|
| Medicare Enrollment ID | O20190114000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033643523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Boyce Family Clinic And Urgent Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 513 Ulster St., Boyce, LA 71409 Phone: 318-793-2400 |