Organization
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC
Active
Other names
Lake Charles Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN JOHNSON-HATCHER (CFO)
(337) 494-2094
Entity
Organization
Contact information
Practice address
1701 OAK PARK BLVD, LAKE CHARLES, LA 70601-8911
(337) 494-3000
Mailing address
1701 OAK PARK BLVD, LAKE CHARLES, LA 70601-8911
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
CHAMPUS - REHAB
LA
01
—
61032
BLUE CROSS - REHAB
LA
Enumeration date
12/21/2006
Last updated
12/04/2023
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