W O MOSS REGIONAL MEDICAL CENTER (NPI# 1548207772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548207772 |
| Entity Type | Organization |
| Organization Name | W O MOSS REGIONAL MEDICAL CENTER |
| Practice Address |
1000 Walters St Lake Charles LA 70607-4647 |
| Practice Telephone | 3374758100 |
| Practice Fax Number | 3374758104 |
| Mailing Telephone | 3374758100 |
| Mailing Fax Number | 3374758104 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2008-04-28 |
| Authorized Official Name | DR. MICHAEL K BUTLER (ACTING CEO) |
| Authorized Official Telephone | 2259220775 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | W O MOSS REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1705225 | 05 | |
| LA | PSYCH | 60979 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598706319 | W O Moss Regional Medical Center | General Acute Care Hospital | 1000 Walters St, Lake Charles, LA 70607-4647 | 2006-06-10 |
| 1770524597 | W O Moss Regional Medical Center | General Acute Care Hospital | 1000 Walters St, Lake Charles, LA 70607-4647 | 2006-06-10 |
| Street Address |
1000 WALTERS ST |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70607-4647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003809880 | Ashleigh Mcinnis Terry | Pharmacist | 1000 Walters St, Lake Charles, LA 70607-4647 | 2005-08-26 |
| 1528618295 | Kayla Dailey Gaspard | Nurse Practitioner | 1000 Walters St, Lake Charles, LA 70607-4647 | 2019-09-16 |
| 1285199844 | Kayla Nordstrom | Nurse Practitioner | 1000 Walters St, Lake Charles, LA 70607-4647 | 2019-02-07 |
| 1245768472 | Joseph Brantley Dressler | Family Medicine | 1000 Walters St, Lake Charles, LA 70607-4647 | 2017-06-01 |
| 1548791940 | Ashton Adekunle Adekanmbi | Family Medicine | 1000 Walters St, Lake Charles, LA 70607-4647 | 2017-03-27 |
| 1396276713 | Jasmin Monique Demerson | Family Medicine | 1000 Walters St, Lake Charles, LA 70607-4647 | 2017-03-27 |
| 1235586249 | Ajaypal Singh | Family Medicine | 1000 Walters St, Lake Charles, LA 70607-4647 | 2016-05-19 |
| 1447635016 | Kimberly Lefrere | Nurse Practitioner | 1000 Walters St, Lake Charles, LA 70607-4647 | 2015-07-24 |
| 1902207228 | Isha Juanelle Lang | Nurse Practitioner | 1000 Walters St, Lake Charles, LA 70607-4647 | 2014-09-05 |
| 1649510900 | Emily B Gaspard | Nutritionist | 1000 Walters St, Lake Charles, LA 70607-4647 | 2013-02-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596283 | Dakota Loosemore | Student in an Organized Health Care Education/Training Program | 800 East Mcneese Street, Lake Charles, LA 70607 | 2020-07-30 |
| 1467003822 | Sarah Jane Walley | Specialist/Technologist | 800 E Mcneese Street, Lake Charles, LA 70607 | 2019-09-26 |
| 1770053902 | Antonio Rivera | Chiropractor | 2625 Dillard Loop, Suite C, Lake Charles, LA 70607 | 2018-11-30 |
| 1851861330 | Shannon Marie Melvin | Specialist/Technologist | 800 East Mcneese, Lake Charles, LA 70607 | 2018-11-28 |
| 1326517699 | Vincent Michael Williams | Specialist/Technologist | 800 East Mcneese St, Lake Charles, LA 70607 | 2018-11-16 |
| 1396263356 | Lake Area Physician Services LLC | Durable Medical Equipment & Medical Supplies | 10071 Hwy 385, Lake Charles, LA 70607 | 2017-08-30 |
| 1023556370 | Heath Bryan Coleman, Dds of Louisiana II, A Professional Dental LLC | Dentist | 2625 Dillard Loop, Ste A, Lake Charles, LA 70607 | 2017-02-07 |
| 1750741880 | Townsend Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 635a Petro Point Dr, Lake Charles, LA 70607 | 2016-03-02 |
| 1194081414 | Clint Nickolas Lincoln | Family Medicine | 10071 Gulf Hwy, Lake Charles, LA 70607 | 2012-04-11 |
| 1295976652 | John Leroy Speer | Dentist | 3425 Louisiana Ave., Lake Charles, LA 70607 | 2009-03-16 |
| Find all providers in zip 70607 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134365216 | Rural Healthcare Developers of Louisiana LLC | Psychiatric Unit | 2837 Ernest St, Lake Charles, LA 70601-8408 | 2008-12-19 |
| 1902198484 | Frontier Hospitals, Inc. | Psychiatric Unit | 2837 Ernest St, Lake Charles, LA 70601-8785 | 2011-05-03 |
| 1679637805 | Southwest Louisiana Hospital Association | Psychiatric Unit | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2006-12-21 |
| 1861491375 | Christus Health Southwestern Louisiana | Psychiatric Unit | 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971133 | Start Corporation | Psychiatric Unit | 23251 S Robin Road, Suite 102, Mandeville, LA 70448-7044 | 2020-10-26 |
| 1831342336 | Sterlington Critical Access Hospital, LLC | Psychiatric Unit | 111 La Hwy 2, Sterlington, LA 71280-3009 | 2008-10-28 |
| 1548452535 | Children's Hospital | Psychiatric Unit | 210 State St Bldg 10, New Orleans, LA 70118-5735 | 2007-08-14 |
| 1649460122 | Hood Memorial Hospital | Psychiatric Unit | 301 West Walnut Street, Amite, LA 70422 | 2007-07-31 |
| 1104980473 | American Legion Hospital | Psychiatric Unit | 300 S Bradford St, Rayne, LA 70578-6961 | 2006-12-21 |
| 1427122969 | Phc-opelousas Lp | Psychiatric Unit | 225 Guidroz, Arnaudville, LA 70512 | 2006-11-17 |
| 1538174347 | East Jefferson General Hospital | Psychiatric Unit | 4200 Houma Boulevard, Metairie, LA 70006-0000 | 2006-07-30 |
| 1801825005 | Hospital Service District # 2 of Lasalle Parish | Psychiatric Unit | 187 Ninth Street, Jena, LA 71342-2780 | 2006-07-01 |
| 1306883384 | Rapides Healthcare System, L.L.C. | Psychiatric Unit | 1610 7th St, Mamou, LA 70554-2299 | 2006-05-31 |
| 1790722825 | University Healthcare System, L.c. | Psychiatric Unit | 5025 Keystone Blvd, Suite 300, Covington, LA 70433-7517 | 2006-05-31 |
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| City | LAKE CHARLES |
| Zip Code | 70607 |
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| 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.