| Lake Charles Memorial Hospital | |
|
1701 Oak Park Blvd Lake Charles LA 70601-8911 | |
| (337) 494-3000 | |
| Not Available |
| Full Name | Lake Charles Memorial Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1701 Oak Park Blvd, Lake Charles, Louisiana |
| Authorized Official Name and Position | Dawn Johnson-hatcher (CFO) |
| Authorized Official Contact | 3374942094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Charles Memorial Hospital Po Box 123977, Dept 3977 Dallas TX 75312-0001 Ph: (337) 480-7800 | Lake Charles Memorial Hospital 1701 Oak Park Blvd Lake Charles LA 70601-8911 Ph: (337) 494-3000 |
| NPI Number | 1679637805 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/04/2023 |
| Medicare PECOS PAC ID | 3274427695 |
|---|---|
| Medicare Enrollment ID | O20080603000604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679637805 | NPI | - | NPPES |
| 60924 | Other | LA | BLUE CROSS - PSYCH |
| 60963 | Other | LA | BLUE CROSS CDU |
| 17205578 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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