| Swla Center For Health Services | |
|
2000 Opelousas St Lake Charles LA 70601-2641 | |
| (337) 439-9983 | |
| (337) 439-3224 |
| Full Name | Swla Center For Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 2000 Opelousas St, Lake Charles, Louisiana |
| Authorized Official Name and Position | Kobrina Price (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 3374935112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Swla Center For Health Services 2000 Opelousas St Lake Charles LA 70601-2641 Ph: (337) 439-9983 | Swla Center For Health Services 2000 Opelousas St Lake Charles LA 70601-2641 Ph: (337) 439-9983 |
| NPI Number | 1720014186 |
|---|---|
| Provider Enumeration Date | 06/25/2006 |
| Last Update Date | 05/13/2019 |
| Medicare PECOS PAC ID | 9133029853 |
|---|---|
| Medicare Enrollment ID | O20040109000902 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720014186 | NPI | - | NPPES |
| 1940828 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | EI1843 (Louisiana) | Primary |
| Provider Name | Tammy Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194838078 PECOS PAC ID: 8527042431 Enrollment ID: I20040617000547 |
| Provider Name | Lisa A Vaughn |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1336303080 PECOS PAC ID: 6608942966 Enrollment ID: I20080910000377 |
| Provider Name | Bradley M Blappert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225247455 PECOS PAC ID: 6406923010 Enrollment ID: I20080924000198 |
| Provider Name | Suzanne Foster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801047329 PECOS PAC ID: 8426231655 Enrollment ID: I20110325000569 |
| Provider Name | Gilbert A Lyon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982939930 PECOS PAC ID: 9830340041 Enrollment ID: I20121116000505 |
| Provider Name | Barbara Williams Leday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437490208 PECOS PAC ID: 8426292525 Enrollment ID: I20130911000227 |
| Provider Name | Jonathan R Hurts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073879631 PECOS PAC ID: 4183869779 Enrollment ID: I20131111000415 |
| Provider Name | Ebony Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700214525 PECOS PAC ID: 8325270549 Enrollment ID: I20140422000911 |
| Provider Name | Lorri Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598190373 PECOS PAC ID: 9234362658 Enrollment ID: I20140508001583 |
| Provider Name | Kari Hankins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154552131 PECOS PAC ID: 3678796893 Enrollment ID: I20140515001507 |
| Provider Name | Regina L Bougie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831504174 PECOS PAC ID: 2062632284 Enrollment ID: I20141009001609 |
| Provider Name | Kimngan Tran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609181007 PECOS PAC ID: 5496077372 Enrollment ID: I20141203002103 |
| Provider Name | David P Kosnosky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093821340 PECOS PAC ID: 4385543305 Enrollment ID: I20160125002159 |
| Provider Name | Mayra S Bustillo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740231430 PECOS PAC ID: 2466532189 Enrollment ID: I20160511000313 |
| Provider Name | Natalie S Culpepper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285027433 PECOS PAC ID: 2769700707 Enrollment ID: I20170112002351 |
| Provider Name | Candace L. Douglas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497195747 PECOS PAC ID: 7416271119 Enrollment ID: I20171017003007 |
| Provider Name | Martha G Murray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487106530 PECOS PAC ID: 4981967627 Enrollment ID: I20180411002460 |
| Provider Name | Phoenicia Neveu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902496664 PECOS PAC ID: 3476838392 Enrollment ID: I20210629001940 |
| Provider Name | Latoya Dugas Granger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245821198 PECOS PAC ID: 1355730193 Enrollment ID: I20211116001777 |
| Provider Name | Teresa Marie Naber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326553850 PECOS PAC ID: 4486035631 Enrollment ID: I20220719001705 |
| Provider Name | Allison Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720795214 PECOS PAC ID: 9234500919 Enrollment ID: I20230116000790 |
| Provider Name | Joi Rinae Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942080247 PECOS PAC ID: 0840643607 Enrollment ID: I20240129000280 |
| Provider Name | Madison Ledoux |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215705207 PECOS PAC ID: 5597109694 Enrollment ID: I20240216001688 |
| Provider Name | Jared Brabham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134763576 PECOS PAC ID: 3173963097 Enrollment ID: I20240425002266 |
| Provider Name | Edoghogho Stacy Edosonmwan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356808901 PECOS PAC ID: 7911449590 Enrollment ID: I20240611001982 |
Lake Charles Medical Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-582-7632 Fax: 337-582-7656 | |
Family Medical Center. Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-478-2650 Fax: 337-478-8183 | |
Cardiovascular Outpatient Center Of Southwest Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 Dr Michael Debakey Dr, Suite 300, Lake Charles, LA 70601 Phone: 337-602-9991 | |
Washington-marion Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2802 Pineview St, Lake Charles, LA 70615 Phone: 337-217-4540 Fax: 337-439-5029 | |
Headache And Wellness Center Of Southwest Louisiana, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 803 W Bayou Pines Dr Ste B, Lake Charles, LA 70601 Phone: 337-508-2333 | |
Imperial Health, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-433-8400 Fax: 337-312-6708 | |
Kndl Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4200 Nelson Rd, Lake Charles, LA 70605 Phone: 337-475-4748 Fax: 337-944-4421 |