GRANT SBHC
NPI 1750400586
Clinic/Center - Student Health in Dry Prong, LA

Active since March 29, 2007
17763 HIGHWAY 167, DRY PRONG, LA 71423(318) 899-5276(318) 899-5932 Get Directions Write a Review

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

Record update history: Oct 19, 2022, Aug 5, 2021, Aug 22, 2020 (3 updates tracked since 2020).

About Grant Sbhc NPPES

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

GRANT SBHC (NPI 1750400586) is a healthcare organization registered as a student health in Dry Prong, Louisiana and active in the NPI registry since March 2007. The organization lists Monte Wilson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1750400586
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameCHRISTUS HEALTH CENTRAL LOUISIANA
Location Address17763 HIGHWAY 167Dry Prong, LA 71423-9205
Mailing Address3330 Masonic DrAlexandria, LA 71301-3841 · (318) 483-4031 · Fax (318) 483-4044
Fax(318) 899-5932
Organization SubpartNo
Authorized OfficialMonte WilsonCeo · (337) 470-2100
Enumeration DateMarch 29, 2007
Last NPPES UpdateOctober 19, 20223 updates tracked since enumeration
NPPES CertifiedOctober 19, 2022
NPI 1750400586 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
17763 HIGHWAY 167, Dry Prong, LA 71423

Other Names 1

Doing Business AsGrant Sbhc

Other Identifiers 1

Medicaid1446971LA

Other Providers at the Same Location NPPES 4

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

Social Worker (Clinical)
17763 HIGHWAY 167
DRY PRONG, LA 71423
Nurse Practitioner (Family)
17763 HIGHWAY 167
DRY PRONG, LA 71423
Clinic/Center (Federally Qualified Health Center (FQHC))
17763 HIGHWAY 167
DRY PRONG, LA 71423
Social Worker
17763 HIGHWAY 167
DRY PRONG, LA 71423

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750400586, enumerated as an "organization" on March 29, 2007.

The provider is located at 17763 HIGHWAY 167 DRY PRONG, LA 71423 and the phone number is (318) 899-5276.

Clinic/Center with taxonomy code 261QS1000X and a focus in Student Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.