| South Cameron Rural Health Clinic | |
|
10080 Gulf Highway Lake Charles LA 70607-8672 | |
| (337) 905-4111 | |
| (337) 905-5711 |
| Full Name | South Cameron Rural Health Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 10080 Gulf Highway, Lake Charles, Louisiana |
| Authorized Official Name and Position | Ray L. Shoemaker (CEO/OWNER) |
| Authorized Official Contact | 6623211155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Cameron Rural Health Clinic 5360 W. Creole Hwy Cameron LA 70631-5127 Ph: (337) 542-4111 | South Cameron Rural Health Clinic 10080 Gulf Highway Lake Charles LA 70607-8672 Ph: (337) 905-4111 |
| NPI Number | 1497896153 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 04/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497896153 | NPI | - | NPPES |
| H1471 | Other | LA | BCBS |
| 1944335 | Medicaid | LA | |
| H1471 | Other | LA | BLUE CROSS RHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 534 (Louisiana) | Primary |
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