SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC (NPI# 1922150564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922150564 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC |
| Other Organization Name | MOSS MEMORIAL CLINIC PHARMACY |
| Practice Address |
1000 Walters St Lake Charles LA 70607-4647 |
| Practice Telephone | 3374808085 |
| Practice Fax Number | 3374808332 |
| Mailing Telephone | 3374808085 |
| Mailing Fax Number | 3374808332 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2016-10-10 |
| Authorized Official Name | LARRY GRAHAM (CEO) |
| Authorized Official Telephone | 3374808085 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY.006714-IR | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2204670 | 05 | |
| PK | 2141145 | 01 |
| Other Name | Type Code |
|---|---|
| Moss Memorial Clinic Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376879080 | Southwest Louisiana Hospital Association Inc | Clinic/Center | 1701 Oak Park Blvd, Lake Charles, LA 70601 | 2009-10-30 |
| 1043408404 | Southwest Louisiana Hospital Association Inc | General Acute Care Hospital | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2007-10-11 |
| 1720152945 | Southwest Louisiana Hospital Association Inc | General Acute Care Hospital | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2006-11-20 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1841698909 | Hobgood Pharmacy, LLC | Pharmacy | 2640 Country Club Rd Ste 150, Lake Charles, LA 70605-6079 | 2014-12-05 |
| 1033356944 | Thrifty Way of Lake Charles | Pharmacy | 1001 3rd Ave, Lake Charles, LA 70601-4640 | 2009-01-14 |
| 1750446183 | Lake Charles Pharmaceutical Supply Co. | Pharmacy | 177 Oak Park Blvd, Suite 110, Lake Charles, LA 70601 | 2006-12-26 |
| 1508936501 | The Drug Store, LLC | Pharmacy | 857 Sam Houston Jones Pkwy, Lake Charles, LA 70611-5504 | 2006-11-08 |
| 1316037054 | Prescription Specialties,llc | Pharmacy | 4070 Nelson Rd, Ste 200, Lake Charles, LA 70605-2444 | 2006-10-13 |
| 1619067626 | Lakeshore Medic Pharmacy | Pharmacy | 2001 Enterprise Blvd, Lake Charles, LA 70601 | 2006-10-13 |
| 1588679732 | Walgreen Co | Pharmacy | 2000 Gertsner Memorial Dr, Lake Charles, LA 70601-8060 | 2006-07-29 |
| 1972122349 | Harrp Group | Pharmacy | 114 Gloria Dr, Lake Charles, LA 70611 | 2020-04-15 |
| 1205235744 | Cvs/caremark | Pharmacy | 366 Sam Houston Jones Pkwy, Lake Charles, LA 70611-5602 | 2014-08-21 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70607 |
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.