PACER HEALTH MANAGEMENT CORPORATION NPI 1497896153

NPI Information

  • NPI: 1497896153
  • Provider Name: PACER HEALTH MANAGEMENT CORPORATION
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: SOUTH CAMERON RURAL HEALTH CLINIC
  • Address: 10080 GULF HIGHWAY
    LAKE CHARLES, LA
    ZIP 70607
  • Phone: (337) 905-4111

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NPI Details

PACER HEALTH MANAGEMENT CORPORATION is a rural health clinic center in Lake Charles, LA. PACER HEALTH MANAGEMENT CORPORATION NPI is 1497896153. The provider is registered as an organization entity type.
The provider Is Doing Business As South Cameron Rural Health Clinic.

The provider's business location address is:

10080 GULF HIGHWAY
LAKE CHARLES, LA
ZIP 70607-672
Phone: (337) 905-4111
Fax: (337) 905-5711

The provider's authorized official is Ray L. Shoemaker .
The authorized official title is Ceo/owner and has the following contact phone number (662) 321-1155.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 4/8/2010.

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
1261QR1300XClinic/CenterRural Health534LOUISIANAYes

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
1H1471OTHERLOUISIANABCBS
2H1471OTHERLOUISIANABLUE CROSS RHC
3193400MEDICARE PINLOUISIANA
4193400MEDICARE UPIN
51944335MEDICAIDLOUISIANA

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: 3/30/2025

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