Organization
IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY
Active
Other names
Imperial Calcasieu HSA Primary Care, ImCal Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA MICHELE THOMAS NRHCMC (BILLING SUPERVISOR)
(337) 475-8701
Entity
Organization
Contact information
Practice address
4105 KIRKMAN ST, LAKE CHARLES, LA 70607-4603
(337) 475-8022
(337) 475-8054
Mailing address
4105 KIRKMAN ST, LAKE CHARLES, LA 70607-4603
(337) 475-3100
(337) 475-3105
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
08/17/2018
Last updated
07/19/2022
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