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Organization
LAKE CHARLES MEDICAL SERVICES, INC
Active
Organization
LAKE CHARLES MEDICAL SERVICES, INC
Active
Parent organization
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION
Other names
Iowa Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION
Authorized official
DAWN JOHNSON-HATCHER (CFO)
(337) 494-2094
Entity
Organization
Contact information
Practice address
203B E MILLER AVE, IOWA, LA 70647-4052
(337) 582-7632
(337) 582-7656
Mailing address
PO BOX 123604 DEPT 3604, DALLAS, TX 75312-3604
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12517
LA
261QR1300X
Rural Health Clinic/Center
Primary
12517
LA
Other
Enumeration date
01/17/2007
Last updated
07/18/2022
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