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PROVENCAL SBHC
NPI 1164687307
Clinic/Center - Student Health in Provencal, LA

Active since July 28, 2008
132 CHERRY ST, PROVENCAL, LA 71468(318) 472-8660(318) 472-8661 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 19, 2022, Oct 4, 2019 (2 updates tracked since 2019).

About Provencal Sbhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVENCAL SBHC (NPI 1164687307) is a healthcare organization registered as a student health in Provencal, Louisiana and active in the NPI registry since July 2008. The organization lists Monte Wilson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164687307
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameCHRISTUS HEALTH CENTRAL LOUISIANA
Location Address132 CHERRY STProvencal, LA 71468
Mailing Address3330 Masonic DrAlexandria, LA 71301-3841 · (318) 483-4031 · Fax (318) 483-4044
Phone(318) 472-8660
Fax(318) 472-8661
Organization SubpartYesParent: Christus Health
Authorized OfficialMonte WilsonCeo · (337) 470-2100
Enumeration DateJuly 28, 2008
Last NPPES UpdateOctober 19, 20222 updates tracked since enumeration
NPPES CertifiedOctober 19, 2022
✔ NPI 1164687307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
License✔ Licensed in LA · 234
132 CHERRY ST, Provencal, LA 71468
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Other Names 1

Doing Business AsProvencal Sbhc

Other Identifiers 1

Medicaid1808814LA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ACCESS HEALTH LOUISIANA
Clinic/Center (Federally Qualified Health Center (FQHC))
132 CHERRY ST
PROVENCAL, LA 71468
Natchitoches Parish (866) 530-6111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christus Health Central Louisiana's NPI number?

The NPI number for Christus Health Central Louisiana is 1164687307. It was assigned to this organization in the NPPES registry on July 28, 2008. The provider is doing business as Provencal Sbhc.

Where is Christus Health Central Louisiana located?

Christus Health Central Louisiana is located at 132 Cherry St, Provencal, LA 71468. The listed phone number is (318) 472-8660.

What is Christus Health Central Louisiana's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

When was this NPI record last updated?

The NPPES record for Christus Health Central Louisiana was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.