Organization
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC
Active
Other names
Lake Charles Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN JOHNSON (CHIEF FINANCIAL OFFIER)
(337) 494-2094
Entity
Organization
Contact information
Practice address
1701 OAK PARK BLVD, LAKE CHARLES, LA 70601-8911
(337) 494-3000
(337) 494-2947
Mailing address
1701 OAK PARK BLVD, LAKE CHARLES, LA 70601-8911
(337) 494-3000
(337) 494-2947
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
112
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002
CHAMPUS ACUTE
LA
05
—
0020349
—
MS
01
—
0073977
AETNA - ALL
LA
01
—
04774
BCBS ER
LA
01
—
10494
BCBS MEDICAL STAFF
LA
01
—
112
DHH LICENSE
LA
05
—
130043603
—
TX
05
—
1720461
—
LA
05
—
1796794
—
LA
01
—
190060
TX WORK COMP CARRIERS
TX
01
—
375150400
DEPT OF LABOR
LA
01
—
90060
BCBS ACUTE
LA
05
—
XHSP41087
—
CA
Enumeration date
06/21/2006
Last updated
12/04/2023
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