Organization
LAKE CHARLES MEMORIAL HEART AND VASCULAR CENTER
Active
Parent organization
SOUTHWEST LOUISIANA HEALTH CARE SYSTEM, INC
Other names
HEART & VASCULAR CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST LOUISIANA HEALTH CARE SYSTEM, INC
Authorized official
DAWN JOHNSON-HATCHER (CFO)
(337) 494-2094
Entity
Organization
Contact information
Practice address
1717 OAK PARK BLVD FL 2, LAKE CHARLES, LA 70601-8990
(337) 494-3278
(337) 494-3240
Mailing address
PO BOX 122152, DEPT 2152 DEPT 2152, DALLAS, TX 75312-2152
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
LA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1948098
—
LA
01
—
CE9693
RAILROAD MEDICARE
LA
Enumeration date
05/17/2006
Last updated
03/25/2025
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