Organization
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC
Active
Other names
Memorial Specialty Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN JOHNSON (CFO)
(337) 494-2094
Entity
Organization
Contact information
Practice address
524 DR MICHAEL DEBAKEY DR, BUILDING B, LAKE CHARLES, LA 70601-5725
(337) 480-8990
(337) 439-1133
Mailing address
1701 OAK PARK BLVD, LAKE CHARLES, LA 70601-8911
(337) 480-8990
(337) 439-1133
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61219
BLUE CROSS
LA
Enumeration date
12/29/2006
Last updated
12/04/2023
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