Organization
PACER HEALTH MANAGEMENT CORPORATION
Active
Parent organization
PACER HEALTH MANAGEMENT CORPORATION
Other names
SOUTH CAMERON RURAL HEALTH CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PACER HEALTH MANAGEMENT CORPORATION
Authorized official
RAY L. SHOEMAKER (CEO/OWNER)
(662) 321-1155
Entity
Organization
Contact information
Practice address
10080 GULF HIGHWAY, LAKE CHARLES, LA 70607-8672
(337) 905-4111
(337) 905-5711
Mailing address
5360 W. CREOLE HWY, CAMERON, LA 70631-5127
(337) 542-4111
(337) 542-4110
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
534
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1944335
—
LA
01
—
H1471
BCBS
LA
Enumeration date
02/08/2007
Last updated
04/08/2010
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