RURAL HEALTHCARE DEVELOPERS OF LOUISIANA LLC NPI 1851537930

NPI Information

NPI: 1851537930
Provider Name: RURAL HEALTHCARE DEVELOPERS OF LOUISIANA LLC

Doing Business As: SOUTH CAMERON RURAL HEALTH CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
10080 GULF HWY
LAKE CHARLES, LA
ZIP 70607
Phone: (337) 905-4111
Get Directions

RURAL HEALTHCARE DEVELOPERS OF LOUISIANA LLC is a rural health clinic center in Lake Charles, LA. RURAL HEALTHCARE DEVELOPERS OF LOUISIANA LLC NPI is 1851537930. 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 HWY
LAKE CHARLES, LA
ZIP 70607-672
Phone: (337) 905-4111
Fax: (337) 905-5711

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

The enumeration date for this NPI number is 12/19/2008 and was last updated on 12/19/2008.

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	261QR1300X	Clinic/Center	Rural Health	534RHC-1	LOUISIANA	Yes

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	1944335	MEDICAID	LOUISIANA
2	193400	MEDICARE OSCAR/CERTIFICATION

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

NPI Synchronization or Removal

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