# LAKE CHARLES MEDICAL SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION
- **Other names:** Rehabilitation Institute of Southwest LA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114011244
- **Legal business name:** SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION
- **Authorized official:** MR. DAVID B USHER FACHE (V. P. OF OPERATIONS)
- **Authorized official phone:** (337) 494-3202

## Contact information

- **Practice address:** 1701 OAK PARK BLVD FL 2, LAKE CHARLES, LA 70601-8911
- **Practice address phone:** (337) 494-6868
- **Practice address fax:** (337) 494-6869
- **Mailing address:** 1717 OAK PARK BLVD FL 3, LAKE CHARLES, LA 70601-8990
- **Mailing address phone:** (337) 494-6868
- **Mailing address fax:** (337) 494-6869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 11/03/2008