Organization
CALCASIEU CAMERON HOSPITAL SERVICE DISTRICT
Active
Other names
Johnson Bayou Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOBIE JAMES (CFO)
(337) 527-4143
Entity
Organization
Contact information
Practice address
6240 GULF BEACH HWY, CAMERON, LA 70631-4213
(337) 527-6530
Mailing address
6240 GULF BEACH HWY, CAMERON, LA 70631-4213
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1824879
—
LA
Enumeration date
09/12/2007
Last updated
01/31/2020
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