COASTAL PAIN CARE LAKE CHARLES, LLC – NPI #1881641405
Physical Medicine & Rehabilitation

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

Health Care Provider Taxonomy Code for Physical Medicine & Rehabilitation

COASTAL PAIN CARE LAKE CHARLES, LLC is a provider located in LAKE CHARLES, LA. NPPES has assigned the NPI number 1881641405 to COASTAL PAIN CARE LAKE CHARLES, LLC on May 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2081P2900X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Pain Medicine

The NPI profile was previously updated about 13 years ago on Apr 25, 2013. 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 COASTAL PAIN CARE LAKE CHARLES, LLC below.

NPI Profile for
COASTAL PAIN CARE LAKE CHARLES, LLC

NPI Number
1881641405
Enumeration Date

(more than 20 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
COASTAL PAIN CARE LAKE CHARLES, LLC
Primary location
215 W PRIEN LAKE RD
LAKE CHARLES, LA 70601-8450
Phone: (337) 477-9019 Fax: (337) 478-1290
Mailing address
PO BOX 4840
LAKE CHARLES, LA 70606-4840
Phone: (337) 477-9019 Fax: (337) 478-1290
Organization Subpart
No
Authorized Official
KRISTI WIDCAMP
MANAGER
Phone: (337) 477-9019
Updated
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
2081P2900X
- Physical Medicine & Rehabilitation / Pain Medicine (Primary)		 LA 016824

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.