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PACER HEALTH MANAGEMENT CORPORATION NPI 1174664833


NPI Information

NPI: 1174664833
Provider Name: PACER HEALTH MANAGEMENT CORPORATION

Doing Business As: SOUTH CAMERON MEMORIAL LONGTERM CARE

Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization
Address:
5360 WEST CREOLE HWY
CAMERON, LA
ZIP 70631
Phone: (337) 542-4111
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PACER HEALTH MANAGEMENT CORPORATION is a medicare defined swing bed unit in Cameron, LA. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. PACER HEALTH MANAGEMENT CORPORATION NPI is 1174664833. The provider is registered as an organization entity type.
The provider Is Doing Business As South Cameron Memorial Longterm Care.

The provider's business location address is:

5360 WEST CREOLE HWY
CAMERON, LA
ZIP 70631-127
Phone: (337) 542-4111
Fax: (337) 542-4110

The provider's authorized official is Ray L Shoemaker .
The authorized official title is Ceo and has the following contact phone number (662) 840-0196.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 2/7/2011.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1275N00000XMedicare Defined Swing Bed Unit534LOUISIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
130985OTHERLOUISIANABLUE CROSS
21510874MEDICAIDLOUISIANA
319U037MEDICARE UPINLOUISIANA
419U037MEDICARE OSCAR/CERTIFICATIONLOUISIANA
519U037MEDICARE OSCAR/CERTIFICATION
630985OTHERLOUISIANABCBS

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: 5/5/2024

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