Provider Demographics
NPI:1164750840
Name:CENTRAL LOUISIANA SURGICAL HOSPITAL LLC
Entity Type:Organization
Organization Name:CENTRAL LOUISIANA SURGICAL HOSPITAL LLC
Other - Org Name:CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:BARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-443-3511
Mailing Address - Street 1:PO BOX 8646
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71306-1646
Mailing Address - Country:US
Mailing Address - Phone:318-443-3511
Mailing Address - Fax:318-448-3591
Practice Address - Street 1:651 N BOLTON AVE
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-7449
Practice Address - Country:US
Practice Address - Phone:318-443-3511
Practice Address - Fax:318-448-3591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-18
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2700014Medicaid
LA2700014Medicaid