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Organization
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC
Active
Organization
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC
Active
Other names
Memorial Specialty Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN JOHNSON (CFO)
(337) 494-2094
Entity
Organization
Contact information
Practice address
524 DR MICHAEL DEBAKEY DR, BUILDING B, LAKE CHARLES, LA 70601-5725
(337) 480-8990
(337) 439-1133
Mailing address
1701 OAK PARK BLVD, LAKE CHARLES, LA 70601-8911
(337) 480-8990
(337) 439-1133
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61219
BLUE CROSS
LA
Enumeration date
12/29/2006
Last updated
12/04/2023
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