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IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY NPI 1598245623


NPI Information

NPI: 1598245623
Provider Name: IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY

Doing Business As: IMCAL PRIMARY CARE

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
4105 KIRKMAN ST
LAKE CHARLES, LA
ZIP 70607
Phone: (337) 475-8022
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IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY is a mental health (including community mental health center) clinic center in Lake Charles, LA. IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY NPI is 1598245623. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Imcal Primary Care.

The provider's business location address is:

4105 KIRKMAN ST
LAKE CHARLES, LA
ZIP 70607-603
Phone: (337) 475-8022
Fax: (337) 475-8054

The provider's authorized official is Angela Michele Thomas .
The authorized official title is Billing Supervisor and has the following contact phone number (337) 475-8701.

The enumeration date for this NPI number is 8/17/2018 and was last updated on 7/19/2022.


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
1207QA0505XFamily MedicineAdult MedicineNo
2261QP2300XClinic/CenterPrimary CareNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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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