IMPERIAL CALCASIEU SURGICAL CENTER,LLC (NPI# 1063649978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063649978 |
| Entity Type | Organization |
| Organization Name | IMPERIAL CALCASIEU SURGICAL CENTER,LLC |
| Other Organization Name | IMPERIAL CALCASIEU SURGICAL CENTER |
| Practice Address |
1757 Imperial Blvd Lake Charles LA 70605 |
| Practice Telephone | 9723424399 |
| Practice Fax Number | 3373101426 |
| Mailing Telephone | 9723424399 |
| Mailing Fax Number | 3373101426 |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-18 |
| Authorized Official Name | MRS. BEVERLY ANN KIRCHNER (ADMINISTRATOR) |
| Authorized Official Telephone | 9723424399 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Imperial Calcasieu Surgical Center | Doing Business As Name - Organization |
| Street Address |
1757 IMPERIAL BLVD |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283606 | Kristin R Morris | Clinical Nurse Specialist | 1900 W. Gaythier Rd, Lake Charles, LA 70605 | 2020-10-21 |
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1053898403 | Heather Spallino Duplechain | Nurse Practitioner | 6713 Nelson Rd., Lake Charles, LA 70605 | 2018-07-27 |
| 1578057956 | Noor Deeb Weckerly | Nurse Practitioner | 6713 Nelson Rd, Lake Charles, LA 70605 | 2018-06-19 |
| 1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1619422474 | Kaitlyn Pinkerton | Specialist/Technologist | 800 E Mcneese St, Lake Charles, LA 70605 | 2016-08-22 |
| 1104274679 | Kelly Rogers | Counselor | 90 N. Luke 102l, Lafayette, LA 70605 | 2016-05-25 |
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1114387404 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 | 2016-02-29 |
| Find all providers in zip 70605 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427098201 | Lake Area Surgicare LLC | Clinic/Center | 2100 Lake St, Lake Charles, LA 70601 | 2006-06-08 |
| 1407338338 | Selim Surgery Center, LLC | Clinic/Center | 215 W Prien Lake Rd, Suite B, Lake Charles, LA 70601 | 2018-09-06 |
| 1841646130 | Lake Charles Ambulatory Surgery Center, Lp | Clinic/Center | 401 Dr Michael Debakey Dr, Suite 310, Lake Charles, LA 70601-5864 | 2016-05-05 |
| 1922178169 | Imperial Health, LLP | Clinic/Center | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2006-11-08 |
| 1942282256 | Urology Specialty and Surgery Center of Southwest Louisiana | Clinic/Center | 234 Dr Michael Debakey Dr, Lake Charles, LA 70601-5960 | 2005-11-14 |
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| 1033734785 | Cardiovascular Institute of The South Asc, LLC | Clinic/Center | 191 Innovation Court, Gray, LA 70359 | 2020-06-09 |
| 1598390015 | Christus Surgery Center Villages LLC | Clinic/Center | 385 Bert Kouns Industrial Loop Ste 300, Shreveport, LA 71106-8158 | 2020-03-04 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1427559046 | Ambulatory Care Specialists of New Orleans | Clinic/Center | 2520 Harvard Ave Ste 2a, Metairie, LA 70001 | 2018-02-28 |
| 1770096273 | Southpark Surgery Center, LLC | Clinic/Center | 901 Wilson St Ste A, Lafayette, LA 70503-2439 | 2017-11-07 |
| 1073026639 | Mid City Specialty Center, LLC | Clinic/Center | 3600 Florida Blvd Ste 2000, Baton Rouge, LA 70806-3842 | 2017-11-06 |
| 1376055897 | Northern Louisiana Cardiac Services LLC | Clinic/Center | 1453 E Bert Kouns Industrial Loop Ste 220, Shreveport, LA 71105-6810 | 2017-10-25 |
| 1780041749 | Buisson Rnfa, LLC | Clinic/Center | 3042 Hill Ct, Mandeville, LA 70448-8488 | 2016-01-21 |
| 1134590912 | Slent Investments, LLC | Clinic/Center | 1420 North Causeway Boulevard, Suite B, Mandeville, LA 70471 | 2015-10-19 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70605 |
Please comment or provide details below to improve the information on IMPERIAL CALCASIEU SURGICAL CENTER,LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.