Christus Coushatta Ringgold Rural Health Center | |
3342 Bienville Rd Ringgold LA 71068-3242 | |
(318) 894-9611 | |
(318) 894-2100 |
Full Name | Christus Coushatta Ringgold Rural Health Center |
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Speciality | Clinic/Center |
Location | 3342 Bienville Rd, Ringgold, 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 |
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Christus Coushatta Ringgold Rural Health Center Po Box 847329 Dallas TX 75284-7329 Ph: (800) 756-7999 | Christus Coushatta Ringgold Rural Health Center 3342 Bienville Rd Ringgold LA 71068-3242 Ph: (318) 894-9611 |
NPI Number | 1205827151 |
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Provider Enumeration Date | 10/31/2005 |
Last Update Date | 10/20/2022 |
Medicare PECOS PAC ID | 4688570955 |
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Medicare Enrollment ID | O20041217000169 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205827151 | NPI | - | NPPES |
1444651 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 551RHC-2 (Louisiana) | Primary |
Bienville Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3265 Military Rd, Ringgold, LA 71068 Phone: 318-894-2341 |