CHRISTUS HEALTH SOUTHWESTERN LOUISIANA NPI 1043472202

NPI Information

  • NPI: 1043472202
  • Provider Name: CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
  • Classification: Clinic/Center - 261QS1000X
  • Specialization: Student Health
  • Entity Type: Organization
  • Doing Business As: WASHINGTON-MARION SBHC
  • CLIA Number: 19D0894653
  • Address: 2802 PINEVIEW ST
    LAKE CHARLES, LA
    ZIP 70615
  • Phone: (337) 217-4540

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NPI Details

CHRISTUS HEALTH SOUTHWESTERN LOUISIANA is a student health clinic center in Lake Charles, LA. CHRISTUS HEALTH SOUTHWESTERN LOUISIANA NPI is 1043472202. The provider is registered as an organization entity type.
The provider Is Doing Business As Washington-marion Sbhc.

The provider's business location address is:

2802 PINEVIEW ST
LAKE CHARLES, LA
ZIP 70615-063
Phone: (337) 217-4540
Fax: (337) 439-5029

The provider's authorized official is Paul Trevino .
The authorized official title is Ceo and has the following contact phone number (337) 491-7730.

The CLIA number assigned to this NPI record is 19D0894653 - school/student health service with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/30/2008 and was last updated on 7/5/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS1000XClinic/CenterStudent HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11447153MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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