| Rural Healthcare Developers Of Louisiana Llc | |
|
10080 Gulf Hwy Lake Charles LA 70607-8672 | |
| (337) 905-4111 | |
| (337) 905-5711 |
| Full Name | Rural Healthcare Developers Of Louisiana Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 10080 Gulf Hwy, Lake Charles, Louisiana |
| Authorized Official Name and Position | Ray Shoemaker (CEO) |
| Authorized Official Contact | 6623211155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Healthcare Developers Of Louisiana Llc 10080 Gulf Hwy Lake Charles LA 70607-8672 Ph: (337) 905-4111 | Rural Healthcare Developers Of Louisiana Llc 10080 Gulf Hwy Lake Charles LA 70607-8672 Ph: (337) 905-4111 |
| NPI Number | 1851537930 |
|---|---|
| Provider Enumeration Date | 12/19/2008 |
| Last Update Date | 12/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851537930 | NPI | - | NPPES |
| 1944335 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 534RHC-1 (Louisiana) | Primary |
Lake Charles Medical Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-582-7632 Fax: 337-582-7656 | |
Family Medical Center. Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-478-2650 Fax: 337-478-8183 | |
Cardiac Cath Lab Of Lake Charles, Lp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 Dr Michael Debakey Dr, Suite 300, Lake Charles, LA 70601 Phone: 337-602-9991 | |
Christus Health Southwestern Louisiana Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2802 Pineview St, Lake Charles, LA 70615 Phone: 337-217-4540 Fax: 337-439-5029 | |
Imperial Health, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-433-8400 Fax: 337-312-6708 | |
Kndl Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4200 Nelson Rd, Lake Charles, LA 70605 Phone: 337-475-4748 Fax: 337-944-4421 | |
Lsuhsc Family Practice Center @ Lcmh Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1525 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-494-6767 Fax: 337-494-6750 |