1083992382 NPI number — CALCASIEU CAMERON HOSPITAL SERVICE DISTRICT

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083992382 NPI number — CALCASIEU CAMERON HOSPITAL SERVICE DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CALCASIEU CAMERON HOSPITAL SERVICE DISTRICT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083992382
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/14/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
701 CYPRESS ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SULPHUR
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70663-5053
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
337-527-7034
Provider Business Mailing Address Fax Number:
337-527-7337

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
301 S CITIES SERVICE HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SULPHUR
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70663-6405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-527-6416
Provider Business Practice Location Address Fax Number:
337-527-4966
Provider Enumeration Date:
08/03/2011

Additional Information

Authorized Official

Authorized Official Last Name:
HANKINS
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
WILLIAM
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
337-527-4241

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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