{
"Npi": {
"NPI": "1487548301",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "CHRISTUS HEALTH CENTRAL LOUISIANA",
"ParentOrgTIN": null,
"OrgName": "CHRISTUS HEALTH CENTRAL LOUISIANA",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1635 MARVEL ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "COUSHATTA",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "71019-9022",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4974 HIGHWAY 3276 STE B",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "STONEWALL",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "71078-9306",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "318-932-2199",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/05/2025",
"LastUpdateDate": "06/12/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WILSON",
"AuthorizedOfficialFirstName": "MONTE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "337-470-2100",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QR1300X",
"TaxonomyName": "Rural Health Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}