Organization
LAKE CHARLES MEDICAL SERVICES, INC
Active
Organization
LAKE CHARLES MEDICAL SERVICES, INC
Active
Parent organization
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION
Other names
Charles B. Woodard, M.D., Cardiovascular Diseases
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION
Authorized official
MR. DAVID B USHER COO (CHIEF OPERATIONS OFFICER)
(337) 494-3202
Entity
Organization
Contact information
Practice address
2800 1ST AVE, SUITE C, LAKE CHARLES, LA 70601-8884
(337) 439-1737
(337) 439-4990
Mailing address
2800 1ST AVE, SUITE C, LAKE CHARLES, LA 70601-8884
(337) 439-1737
(337) 439-4990
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
012245
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06-00004568
OCCUPATIONAL LICENSE
LA
05
—
1944408
—
LA
01
—
CH1901
RAILROAD MEDICARE
LA
01
—
NG4865
BCBS
LA
Enumeration date
11/16/2006
Last updated
04/17/2008
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