SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC (NPI# 1376879080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376879080 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC |
| Other Organization Name | LAKE CHARLES MEMORIAL HOSPITAL |
| Practice Address |
1701 Oak Park Blvd Lake Charles LA 70601 |
| Mailing Address |
1701 Oak Park Blvd Lake Charles LA 70601-8911 |
| Practice Telephone | 3374943000 |
| Mailing Telephone | 3374943000 |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2009-11-20 |
| Authorized Official Name | MR. LARRY GRAHAM (CEO) |
| Authorized Official Telephone | 3374943000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | BLUE CROSS BLUE SHIELD | 60963 | 01 |
| Other Name | Type Code |
|---|---|
| Lake Charles Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043408404 | Southwest Louisiana Hospital Association Inc | General Acute Care Hospital | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2007-10-11 |
| 1922150564 | Southwest Louisiana Hospital Association Inc | Pharmacy | 1000 Walters St, Lake Charles, LA 70607-4647 | 2007-01-16 |
| 1720152945 | Southwest Louisiana Hospital Association Inc | General Acute Care Hospital | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2006-11-20 |
| Street Address |
1701 OAK PARK BLVD |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972549855 | Southwest Louisiana Hospital Association | General Acute Care Hospital | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2006-06-21 |
| 1699386672 | Alexis Batiste | Nurse Anesthetist, Certified Registered | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2020-08-12 |
| 1912530510 | Kathryn Claire Anderson | Nurse Practitioner | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2020-02-21 |
| 1902450851 | Jed Michael Guillory | Nurse Practitioner | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2019-07-29 |
| 1598328189 | Joshua Clayton Gray | Nurse Practitioner | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2019-04-18 |
| 1750846663 | Memorial Medical Group, LLC | Family Medicine | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2019-02-05 |
| 1306331004 | Austin Goings | Nurse Practitioner | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2018-06-25 |
| 1649767724 | Melanie Bousegard White | Nurse Practitioner | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2018-04-16 |
| 1518461706 | Brandon Shea Blanchard | Nurse Practitioner | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2018-03-21 |
| 1790293645 | Lauren Courville | Nurse Practitioner | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2018-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962457358 | Department of Health and Hospitals | Clinic/Center | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374241 | 5th Dimension Recovery Center | Clinic/Center | 630 Wilson St, Lafayette, LA 70503-2154 | 2020-07-29 |
| 1265053649 | Applegate Health Services, Inc | Clinic/Center | 4500 York St Ste 206, Metairie, LA 70001-1249 | 2020-04-27 |
| 1699396085 | Applegate Health Services, Inc | Clinic/Center | 700 Gause Blvd Ste 103, Slidell, LA 70458-2852 | 2020-04-27 |
| 1548893563 | Applegate Health Services, Inc | Clinic/Center | 905 E 7th Ave Ste 7, Oakdale, LA 71463-2788 | 2020-02-18 |
| 1790347433 | New Way Recovery, LLC | Clinic/Center | 222 Bell Ln Ste 6, West Monroe, LA 71291-6303 | 2019-07-02 |
| 1477117455 | Cataldie Publishing LLC | Clinic/Center | 1255 Camelia Ave, Baker, LA 70714-2251 | 2019-04-25 |
| 1679043905 | Applegate Health Services, Inc | Clinic/Center | 2000 Audubon Ave Ste C, Thibodaux, LA 70301-5075 | 2018-11-29 |
| 1003394776 | Applegate Health Services, Inc | Clinic/Center | 4451 Bluebonnet Blvd Ste E, Baton Rouge, LA 70809-9647 | 2018-08-03 |
| 1811440209 | House of Jacob Health Services | Clinic/Center | 316 Filmore St, Kenner, LA 70062-7810 | 2016-08-02 |
| 1427419951 | Council On Alcohol and Drug Abuse for Greater New Orleans | Clinic/Center | 2640 Canal St Fl 4, New Orleans, LA 70119-6410 | 2016-03-11 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
Please comment or provide details below to improve the information on SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC.
| 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.