Active NPI
Pacer Health Management Corporation
Doing business as Calcasieu Oaks
- Psychiatric Hospital
- Lake Charles, LA
National Provider Identifier
1053451872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- License
- 534
- Legal business name
- PACER HEALTH MANAGEMENT CORPORATION
- Doing business as
- Calcasieu Oaks
- Practice address
- 2837 Ernest Street
Lake Charles, LA 70601-8408 - Phone
- (337) 542-4111
- Fax
- (337) 542-4110
- NPI assigned
- Feb 8, 2007
- Organization subpart
- Yes
- Parent organization
- PACER HEALTH MANAGEMENT CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ray L Shoemaker
- Title
- Ceo
- Phone
- (662) 840-0196
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | 534 | LA | Primary |
Addresses
Primary practice location
2837 Ernest Street
Lake Charles, LA 70601-8408
Mailing address
5360 West Creole Hwy
Cameron, LA 70631-5127
Phone (337) 542-4111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1705560 | Medicaid | LA |
Other names 1
- Calcasieu Oaks
National Provider Directory
National Provider Directory- Part of
- Pacer Health Management Corporation
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba South Cameron Memorial Physicians
- Rural Health Clinic/Center
- Cameron, LA
- NPI 1508997313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297036800000",
"number": "1053451872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5360 WEST CREOLE HWY",
"city": "CAMERON",
"state": "LA",
"postal_code": "706315127",
"telephone_number": "337-542-4111",
"fax_number": "337-542-4110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2837 ERNEST STREET",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018408",
"telephone_number": "337-542-4111",
"fax_number": "337-542-4110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACER HEALTH MANAGEMENT CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PACER HEALTH MANAGEMENT CORPORATION",
"enumeration_date": "2007-02-08",
"last_updated": "2011-02-07",
"status": "A",
"authorized_official_last_name": "SHOEMAKER",
"authorized_official_first_name": "RAY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "662-840-0196",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "LA",
"license": "534",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1705560",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Calcasieu Oaks",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Charles, LA
- Cecilia Chan Oubre, DDS
- Outpatient Diagnostic Imaging
- Tiffany Lacy Owen-McAnulty, BCBA, LBA
- Casey Shuntel Owens
- Shermier Owens
- Pacer Health Management Corporation (South Cameron Rural Health Clinic)
- Pain Stop Clinic, LLC
- Ryan Keogh Palermo, PA-C
- Palliative Care at Heart, LLC
- Christine Camille Palma, DPM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.