PACER HEALTH MANAGEMENT CORPORATION NPI 1497896153

NPI Information

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:

Other Identifiers

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

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