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SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC NPI 1912063280


NPI Information

NPI: 1912063280
Provider Name: SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC

Doing Business As: MEMORIAL SPECIALTY HOSPITAL

Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization
Address:
524 DR MICHAEL DEBAKEY DR
BUILDING B
LAKE CHARLES, LA
ZIP 70601
Phone: (337) 480-8990
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SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC is a long term care hospital in Lake Charles, LA. The provider is long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC NPI is 1912063280. The provider is registered as an organization entity type.
The provider Is Doing Business As Memorial Specialty Hospital.

The provider's business location address is:

524 DR MICHAEL DEBAKEY DR
BUILDING B
LAKE CHARLES, LA
ZIP 70601-725
Phone: (337) 480-8990
Fax: (337) 439-1133

The provider's authorized official is Dawn Johnson .
The authorized official title is Cfo and has the following contact phone number (337) 494-2094.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 12/4/2023.


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
1282E00000XLong Term Care HospitalYes

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
161219OTHERLOUISIANABLUE CROSS

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: 5/5/2024

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