| W O Moss Regional Medical Center | |
|
1000 Walters St Lake Charles LA 70607-4647 | |
| (337) 475-8100 | |
| (337) 475-8104 |
| Full Name | W O Moss Regional Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1000 Walters St, Lake Charles, Louisiana |
| Authorized Official Name and Position | Michael K Butler (ACTING CEO) |
| Authorized Official Contact | 2259220775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| W O Moss Regional Medical Center 1000 Walters St Lake Charles LA 70607-4647 Ph: (337) 475-8100 | W O Moss Regional Medical Center 1000 Walters St Lake Charles LA 70607-4647 Ph: (337) 475-8100 |
| NPI Number | 1548207772 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 04/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548207772 | NPI | - | NPPES |
| 1705225 | Medicaid | LA | |
| 60979 | Other | LA | PSYCH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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Volunteers Of America Greater Baton Rouge Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2119 Oak Park Blvd, Suite 421, Lake Charles, LA 70601 Phone: 225-387-0061 | |
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