TIOGA JUNIOR HIGH SBHC – NPI #1649391079
Clinic/Center

TIOGA JUNIOR HIGH SBHC is an AHC clinic located in PINEVILLE, LA. NPPES has assigned the NPI number 1649391079 to TIOGA JUNIOR HIGH SBHC on April 03, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “TIOGA JUNIOR HIGH SBHC” is a dba name, the actual legal business name for this organization is CHRISTUS HEALTH CENTRAL LOUISIANA. The primary taxonomy selected by this provider is 261QS1000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Student Health

The NPI profile was previously updated about 4 years ago on Oct 20, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TIOGA JUNIOR HIGH SBHC below.

NPI Profile for
CHRISTUS HEALTH CENTRAL LOUISIANA

NPI Number
1649391079
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHRISTUS HEALTH CENTRAL LOUISIANA
Doing Business As (dba): TIOGA JUNIOR HIGH SBHC
Primary location
1150 JUNIOR HIGH ROAD
PINEVILLE, LA 71360
Phone: (318) 640-6942 Fax: (318) 640-6978
Mailing address
3330 MASONIC DR
ALEXANDRIA, LA 71301-3841
Phone: (318) 483-4031 Fax: (318) 483-4044
Organization Subpart
No
Authorized Official
MONTE WILSON
CEO
Phone: (337) 470-2100
Updated
Certification Date
Oct 20, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for TIOGA JUNIOR HIGH SBHC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidLA1446912
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS1000X
- Clinic/Center / Student Health (Primary)
LA 234

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.