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IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY NPI 1902944184


NPI Information

NPI: 1902944184
Provider Name: IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY

Doing Business As: IMPERIAL CALCASIEU HSA BEHAVIORAL HEALTH BEAUREGARD

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

Specialization: Mental Health (Including Community Mental Health Center)

Address:
106 W PORT ST
DERIDDER, LA
ZIP 70634
Phone: (337) 462-1641
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IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY is a mental health (including community mental health center) clinic center in Deridder, LA. IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY NPI is 1902944184. The provider is registered as an organization entity type.
The provider Is Doing Business As Imperial Calcasieu Hsa Behavioral Health Beauregard.

The provider's business location address is:

106 W PORT ST
DERIDDER, LA
ZIP 70634-040
Phone: (337) 462-1641
Fax: (337) 462-1354

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 2/1/2007 and was last updated on 6/28/2022.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)80LOUISIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11750069MEDICAIDLOUISIANA

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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