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Organization
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC
Active
Organization
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC
Active
Other names
Lake Charles Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN JOHNSON (CHIEF FINANCIAL OFFIER)
(337) 494-2094
Entity
Organization
Contact information
Practice address
1701 OAK PARK BLVD, LAKE CHARLES, LA 70601-8911
(337) 494-3000
(337) 494-2947
Mailing address
1701 OAK PARK BLVD, LAKE CHARLES, LA 70601-8911
(337) 494-3000
(337) 494-2947
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
112
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002
CHAMPUS ACUTE
LA
05
—
0020349
—
MS
01
—
0073977
AETNA - ALL
LA
01
—
04774
BCBS ER
LA
01
—
10494
BCBS MEDICAL STAFF
LA
01
—
112
DHH LICENSE
LA
05
—
130043603
—
TX
05
—
1720461
—
LA
05
—
1796794
—
LA
01
—
190060
TX WORK COMP CARRIERS
TX
01
—
375150400
DEPT OF LABOR
LA
01
—
90060
BCBS ACUTE
LA
05
—
XHSP41087
—
CA
Enumeration date
06/21/2006
Last updated
12/04/2023
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