SOUTHWEST LOUISIANA AIDS COUNCIL NPI 1558431106

NPI Information

NPI: 1558431106
Provider Name: SOUTHWEST LOUISIANA AIDS COUNCIL
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
CLIA Number: 19D1056354
Address: 1715 COMMON ST
LAKE CHARLES, LA
ZIP 70601
Phone: (337) 439-5861

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NPI Details

SOUTHWEST LOUISIANA AIDS COUNCIL is a clinic center in Lake Charles, LA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SOUTHWEST LOUISIANA AIDS COUNCIL NPI is 1558431106. The provider is registered as an organization entity type.

The provider's business location address is:

1715 COMMON ST
LAKE CHARLES, LA
ZIP 70601-135
Phone: (337) 439-5861
Fax: (337) 436-8713

The provider's authorized official is Terry L Estes .
The authorized official title is Executive Director and has the following contact phone number (337) 292-0619.

The CLIA number assigned to this NPI record is 19D1056354 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 8/3/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251B00000X	Case Management		CM 4387	LOUISIANA	No
2	251S00000X	Community/Behavioral Health				No
3	261Q00000X	Clinic/Center				Yes
4	261QD0000X	Clinic/Center	Dental			No
5	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No

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
1	1160792-HIV	MEDICAID	LOUISIANA

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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