Organization
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC
Active
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
PO BOX 123977, DEPT 3977, DALLAS, TX 75312-0001
(337) 480-7800
(337) 474-4552
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17205578
—
LA
01
—
60924
BLUE CROSS - PSYCH
LA
01
—
60963
BLUE CROSS CDU
LA
Enumeration date
12/21/2006
Last updated
12/04/2023
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