| Christus Health Central Louisiana | |
|
1633 Marvel Street Coushatta LA 71019-9022 | |
| (318) 932-2081 | |
| (318) 932-2215 |
| Full Name | Christus Health Central Louisiana |
|---|---|
| Speciality | Clinic/Center |
| Location | 1633 Marvel Street, Coushatta, 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 1633 Marvel Street Coushatta LA 71019-9022 Ph: (318) 932-2081 |
| NPI Number | 1871584722 |
|---|---|
| Provider Enumeration Date | 10/31/2005 |
| Last Update Date | 10/20/2022 |
| Medicare PECOS PAC ID | 4688570955 |
|---|---|
| Medicare Enrollment ID | O20041217000320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871584722 | NPI | - | NPPES |
| 1443913 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 261QC0050X | Clinic/center - Critical Access Hospital | 551RHC-1 (Louisiana) | Primary |
Wyche T. Coleman, M.d., Limited Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1633 Marvel Street, Coushatta, LA 71019 Phone: 318-932-9980 Fax: 318-932-9906 | |
Joshua R Cason Limited Apmc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1110 Ringgold Ave, Suite B, Coushatta, LA 71019 Phone: 318-932-2081 Fax: 318-932-2215 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 E Carrol St, Coushatta, LA 71019 Phone: 833-784-2669 Fax: 844-784-2329 | |
Matrix Therapy Solutions, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5024 Cut Off Rd Ste B, Coushatta, LA 71019 Phone: 318-560-7300 Fax: 318-932-7946 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 E Carrol St, Coushatta, LA 71019 Phone: 318-932-4221 | |
Esther M. Holloway, M.d., Apmc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1633 Marvel Street, Coushatta, LA 71019 Phone: 318-932-8937 Fax: 318-932-8939 | |
D Gregory Bell Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1633 Marvel St, Coushatta, LA 71019 Phone: 318-932-2170 Fax: 318-932-2242 |