Christus Health Central Louisiana
Christus Health Central Louisiana is a Student Health Clinic/Center in Provencal, Louisiana. Licensed in Louisiana. Registered with an NPI since 2008.
- Licensed in
- LA
- In the registry since
- 2008
Practice location Address checks out
132 Cherry StProvencal, LA 71468
Phone: (318) 472-8660
Fax: (318) 472-8661
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student Health Clinic/Center (primary) | Taxonomy 261QS1000X · Licence 234 (LA) |
|---|
Record details
| NPI number | 1164687307 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Christus Health |
| Authorized official | Monte Wilson — Ceo · (337) 470-2100 |
| Other names | Provencal Sbhc; Provencal Sbhc |
| NPI enumerated | July 28, 2008 |
| Last updated in NPPES | October 19, 2022 |
| Certification date | October 19, 2022 |
| Mailing address | 3330 Masonic Dr, Alexandria, LA 71301-3841 |