| Christus Health Central Louisiana | |
|
3342 Bienville Rd Ringgold LA 71068-3242 | |
| (318) 894-9611 | |
| (318) 894-2100 |
| Full Name | Christus Health Central Louisiana |
|---|---|
| Speciality | Clinic/Center |
| Location | 3342 Bienville Rd, Ringgold, 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 3342 Bienville Rd Ringgold LA 71068-3242 Ph: (318) 894-9611 |
| NPI Number | 1205827151 |
|---|---|
| Provider Enumeration Date | 10/31/2005 |
| Last Update Date | 10/20/2022 |
| Medicare PECOS PAC ID | 4688570955 |
|---|---|
| Medicare Enrollment ID | O20041217000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205827151 | NPI | - | NPPES |
| 1444651 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 551RHC-2 (Louisiana) | Primary |
Winn Community Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3265 Military Rd, Ringgold, LA 71068 Phone: 318-894-2341 |