| Christus Health Central Louisiana | |
|
715 Highway 1207 Deville LA 71328-8505 | |
| (318) 466-8335 | |
| (318) 466-8338 |
| Full Name | Christus Health Central Louisiana |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 715 Highway 1207, Deville, Louisiana |
| Authorized Official Name and Position | Monte Wilson (CEO) |
| Authorized Official Contact | 3374702100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christus Health Central Louisiana 3330 Masonic Dr Alexandria LA 71301-3841 Ph: (318) 483-4031 | Christus Health Central Louisiana 715 Highway 1207 Deville LA 71328-8505 Ph: (318) 466-8335 |
| NPI Number | 1285755611 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 10/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285755611 | NPI | - | NPPES |
| 1446947 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | 234 (Louisiana) | Primary |
Access Health Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 715 Highway 1207, Deville, LA 71328 Phone: 866-530-6111 | |
Winn Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 642 La-1207, Deville, LA 71328 Phone: 318-648-0375 | |
Winn Community Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 646 La-1207, Deville, LA 71328 Phone: 318-648-0375 |