LAKE CHARLES MEMORIAL HOSPITAL – NPI #1376879080
Clinic/Center

LAKE CHARLES MEMORIAL HOSPITAL is an AHC clinic located in LAKE CHARLES, LA. NPPES has assigned the NPI number 1376879080 to LAKE CHARLES MEMORIAL HOSPITAL on October 30, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LAKE CHARLES MEMORIAL HOSPITAL” is a dba name, the actual legal business name for this organization is SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC. The primary taxonomy selected by this provider is 261QR0405X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rehabilitation, Substance Use Disorder

The NPI profile was previously updated about 3 years ago on Dec 04, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKE CHARLES MEMORIAL HOSPITAL below.

NPI Profile for
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC

NPI Number
1376879080
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC
Doing Business As (dba): LAKE CHARLES MEMORIAL HOSPITAL
Primary location
1701 OAK PARK BLVD
LAKE CHARLES, LA 70601
Phone: (337) 494-3000 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAWN JOHNSON
CFO
Phone: (337) 494-2094
Updated
Certification Date
Dec 04, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LAKE CHARLES MEMORIAL HOSPITAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBLUE CROSS BLUE SHIELDLA60963
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0405X
- Clinic/Center / Rehabilitation, Substance Use Disorder (Primary)		 LA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.