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CHG HOSPITAL SULPHUR LLC NPI 1770972275


NPI Information

NPI: 1770972275
Provider Name: CHG HOSPITAL SULPHUR, LLC

Doing Business As: CORNERSTONE SPECIALTY HOSPITALS SULPHUR

Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization

CLIA Number: 19D1016205

Address:
524 DR MICHAEL DEBAKEY DR
THIRD FLOOR
LAKE CHARLES, LA
ZIP 70601
Phone: (337) 527-1102
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CHG HOSPITAL SULPHUR, LLC is a long term care hospital in Lake Charles, LA. The provider is long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. CHG HOSPITAL SULPHUR, LLC NPI is 1770972275. The provider is registered as an organization entity type.
The provider Is Doing Business As Cornerstone Specialty Hospitals Sulphur.

The provider's business location address is:

524 DR MICHAEL DEBAKEY DR
THIRD FLOOR
LAKE CHARLES, LA
ZIP 70601
Phone: (337) 527-1102
Fax: (337) 527-1114

The provider's authorized official is Kathy Teague .
The authorized official title is Vice President, Corporate Secretary and has the following contact phone number (629) 253-5121.

The CLIA number assigned to this NPI record is 19D1016205 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/21/2015 and was last updated on 3/8/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282E00000XLong Term Care Hospital2203782333LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11762296MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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