| Imcal Primary Care | |
|
4105 Kirkman St Lake Charles LA 70607-4603 | |
| (337) 475-8022 | |
| (337) 475-8054 |
| Full Name | Imcal Primary Care |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4105 Kirkman St, Lake Charles, Louisiana |
| Authorized Official Name and Position | Angela Michele Thomas (BILLING SUPERVISOR) |
| Authorized Official Contact | 3374758701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imcal Primary Care 4105 Kirkman St Lake Charles LA 70607-4603 Ph: (337) 475-3100 | Imcal Primary Care 4105 Kirkman St Lake Charles LA 70607-4603 Ph: (337) 475-8022 |
| NPI Number | 1598245623 |
|---|---|
| Provider Enumeration Date | 08/17/2018 |
| Last Update Date | 07/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598245623 | NPI | - | NPPES |
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