| Christus Health Southwestern Louisiana | |
|
753 Oak Grove Hwy Grand Chenier LA 70643-3242 | |
| (337) 542-4441 | |
| (337) 542-4588 |
| Full Name | Christus Health Southwestern Louisiana |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 753 Oak Grove Hwy, Grand Chenier, Louisiana |
| Authorized Official Name and Position | Paul Trevino (CEO) |
| Authorized Official Contact | 4098998191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christus Health Southwestern Louisiana 524 Dr Michael Debakey Dr Lake Charles LA 70601-5725 Ph: (337) 542-4441 | Christus Health Southwestern Louisiana 753 Oak Grove Hwy Grand Chenier LA 70643-3242 Ph: (337) 542-4441 |
| NPI Number | 1407068299 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 07/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407068299 | NPI | - | NPPES |
| 1447404 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |