| Christus St. Patrick Hosptial | |
|
524 Dr Michael Debakey Dr Lake Charles LA 70601-5725 | |
| (337) 436-2511 | |
| (469) 282-1791 |
| Full Name | Christus St. Patrick Hosptial |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 524 Dr Michael Debakey Dr, Lake Charles, Louisiana |
| Authorized Official Name and Position | Paul Trevino (CEO) |
| Authorized Official Contact | 4098998191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christus St. Patrick Hosptial Po Box 846039 Dallas TX 75284-6039 Ph: (800) 756-7999 | Christus St. Patrick Hosptial 524 Dr Michael Debakey Dr Lake Charles LA 70601-5725 Ph: (337) 436-2511 |
| NPI Number | 1861491375 |
|---|---|
| Provider Enumeration Date | 07/18/2005 |
| Last Update Date | 07/05/2022 |
| Certification Date | 07/05/2022 |
| Medicare PECOS PAC ID | 5799695839 |
|---|---|
| Medicare Enrollment ID | O20071205000271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861491375 | NPI | - | NPPES |
| 1705799 | Medicaid | LA | |
| 60051 | Other | LA | BLUE CROSS PSYCH |
| 60836 | Other | LA | BLUE CROSS CDU |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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