Organization
W O MOSS REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
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) 415-8104
Mailing address
1000 WALTERS ST, LAKE CHARLES, LA 70607-4647
(337) 475-8100
(337) 415-8104
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720402
—
LA
01
—
90161
BCBS ACUTE
LA
Enumeration date
06/10/2006
Last updated
02/26/2008
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