SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION (NPI# 1912063280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912063280 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION |
| Other Organization Name | MEMORIAL SPECIALTY HOSPITAL |
| Practice Address |
524 Dr Michael Debakey Dr Building B Lake Charles LA 70601-5725 |
| Mailing Address |
1701 Oak Park Blvd Lake Charles LA 70601-8911 |
| Practice Telephone | 3374808990 |
| Practice Fax Number | 3374391133 |
| Mailing Telephone | 3374808990 |
| Mailing Fax Number | 3374391133 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2016-03-10 |
| Authorized Official Name | MR. LARRY GRAHAM (CEO) |
| Authorized Official Telephone | 3374943200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | BLUE CROSS | 61219 | 01 |
| Other Name | Type Code |
|---|---|
| Memorial Specialty Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649295015 | Southwest Louisiana Hospital Association | Home Health | 2010 Oak Park Blvd, Lake Charles, LA 70601-8913 | 2006-07-13 |
| 1972549855 | Southwest Louisiana Hospital Association | General Acute Care Hospital | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2006-06-21 |
| 1902326572 | Southwest Louisiana Hospital Association | Internal Medicine | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2017-06-23 |
| 1023227915 | Southwest Louisiana Hospital Association | Obstetrics & Gynecology | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2007-05-21 |
| 1407983596 | Southwest Louisiana Hospital Association | Surgery | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2007-02-27 |
| 1659424075 | Southwest Louisiana Hospital Association | Internal Medicine | 2770 3rd Ave Fl 2, Lake Charles, LA 70601-8994 | 2007-01-19 |
| 1235281239 | Southwest Louisiana Hospital Association | Family Medicine | 1890 W Gauthier Rd, 115, Lake Charles, LA 70605-7179 | 2007-01-18 |
| 1720130339 | Southwest Louisiana Hospital Association | Family Medicine | 2770 3rd Ave Fl 2, Lake Charles, LA 70601-8994 | 2007-01-17 |
| 1679637805 | Southwest Louisiana Hospital Association | Psychiatric Unit | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2006-12-21 |
| 1407910631 | Southwest Louisiana Hospital Association | Rehabilitation Unit | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2006-12-21 |
| Street Address |
524 DR MICHAEL DEBAKEY DR BUILDING B |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-5725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076468 | Christus Health Southwestern Louisiana | General Acute Care Hospital | 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 | 2005-07-13 |
| 1992318331 | Renee Marie Juneau | Nurse Practitioner | 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 | 2020-08-25 |
| 1154943397 | Karen Nicole Anderson | Nurse Practitioner | 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 | 2020-05-11 |
| 1982223087 | Wade Gillard | Nurse Practitioner | 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 | 2020-04-09 |
| 1467071472 | Emily Shannon Hunt | Nurse Practitioner | 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 | 2020-04-09 |
| 1871158378 | Ochsner Clinic LLC | Internal Medicine | 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 | 2019-05-09 |
| 1548732332 | Mary Virginia Disante | Registered Nurse | 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 | 2018-12-18 |
| 1841779097 | Selisa Malvo Valyan | Nurse Practitioner | 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 | 2018-08-08 |
| 1659868172 | Tyler Mulkey | Student in an Organized Health Care Education/Training Program | 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 | 2018-04-19 |
| 1396253407 | Sound Physicians Emergency Medicine of Louisiana Inc | Emergency Medicine | 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 | 2018-01-11 |
| 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 | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770972275 | Chg Hospital Sulphur, LLC | Long Term Care Hospital | 524 Dr Michael Debakey Dr, Third Floor, Lake Charles, LA 70601 | 2015-01-21 |
| 1174611768 | Dubuis Health System, Inc. | Long Term Care Hospital | 524 S Ryan St, 5th Floor, Lake Charles, LA 70601-5725 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033777479 | Northshore Extended Care Hospital, LLC | Long Term Care Hospital | 64030 La 434, Lacombe, LA 70445 | 2019-05-31 |
| 1528622065 | Intensive Specialty Hospital, LLC | Long Term Care Hospital | 1800 Irving Pl Ste 100, Shreveport, LA 71101-4608 | 2019-04-30 |
| 1639641764 | Bliant Specialty Hospital, LLC | Long Term Care Hospital | 14500 Hayne Blvd Ste 100, New Orleans, LA 70128-1751 | 2018-12-31 |
| 1881162337 | Bridgepoint Healthcare Louisiana LLC | Long Term Care Hospital | 4200 Houma Blvd Fl 5, Metairie, LA 70006-2970 | 2018-11-02 |
| 1902308349 | Curahealth New Orleans, LLC | Long Term Care Hospital | 1441 Lindberg Dr, Suite 150, Slidell, LA 70458-8056 | 2018-03-01 |
| 1861915415 | Integra Health Services Professional Corporation | Long Term Care Hospital | 1110 Ringgold Ave Ste B, Coushatta, LA 71019-9004 | 2017-07-25 |
| 1962924001 | Lhcg Cxx, LLC | Long Term Care Hospital | 3330 Masonic Dr Fl 4, Alexandria, LA 71301-3841 | 2017-07-11 |
| 1407207632 | Bridgepoint Healthcare Louisiana LLC | Long Term Care Hospital | 1101 Medical Center Blvd Fl 7, Marrero, LA 70072-3147 | 2016-06-29 |
| 1386016848 | 999999 | Long Term Care Hospital | 1013 N Causeway Blvd Ste 201, Metairie, LA 70001-4100 | 2015-10-23 |
| 1891015251 | Ebonyslacewigs | Long Term Care Hospital | 1790 Pratt Dr, New Orleans, LA 70122-2408 | 2010-06-08 |
| 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.
| 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.