Organization
W O MOSS REGIONAL MEDICAL CENTER
Active
Parent organization
W O MOSS REGIONAL MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
W O MOSS REGIONAL MEDICAL CENTER
Authorized official
DR. MICHAEL K BUTLER M.D. (ACTING CEO)
(225) 922-0775
Entity
Organization
Contact information
Practice address
1000 WALTERS ST, LAKE CHARLES, LA 70607-4647
(337) 475-8100
(337) 475-8104
Mailing address
1000 WALTERS ST, LAKE CHARLES, LA 70607-4647
(337) 475-8100
(337) 475-8104
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1705225
—
LA
01
—
60979
PSYCH
LA
Enumeration date
05/31/2006
Last updated
04/28/2008
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