Organization
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC
Active
Other names
Lake Charles Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN JOHNSON (CFO)
(337) 494-2094
Entity
Organization
Contact information
Practice address
1701 OAK PARK BLVD, LAKE CHARLES, LA 70601
(337) 494-3000
Mailing address
1701 OAK PARK BLVD, LAKE CHARLES, LA 70601-8911
(337) 494-3000
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60963
BLUE CROSS BLUE SHIELD
LA
Enumeration date
10/30/2009
Last updated
12/04/2023
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