Imperial Calcasieu Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

IMPERIAL CALCASIEU SURGICAL CENTER LLC

Doing business as

Christus Imperial Calcasieu Surgical Center

Practice address

1757 Imperial Blvd
Lake Charles, LA 70605-5362

Phone

(337) 310-2832

Fax

(337) 310-1426

NPI assigned

Jun 18, 2009

Last updated

Dec 15, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gary K Ruff

Title

President

Phone

(469) 282-2637

Specialties & licenses 1

Addresses

Other names 1

• CHRISTUS IMPERIAL CALCASIEU SURGICAL CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Listed as

Imperial Calcasieu Surgical CenterCCN 19C0001116

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Christus Health Southwestern Louisiana

  dba Clifton Elementary SBHC

  • Student Health Clinic/Center
  • Lake Charles, LA
  • NPI 1710191473

  Member Of

  NPD member
• Ochsner Pharmacy and Wellness, LLC

  dba Ochsner Pharmacy and Wellness - Main Campus Atrium

  • Clinic Pharmacy
  • New Orleans, LA
  • NPI 1518073824

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1063649978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 IMPERIAL BLVD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055362",
            "telephone_number": "337-310-2832",
            "fax_number": "337-310-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 IMPERIAL BLVD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055362",
            "telephone_number": "337-310-2832",
            "fax_number": "337-310-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL CALCASIEU SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2022-12-15",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "RUFF",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-282-2637"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTUS IMPERIAL CALCASIEU SURGICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHRISTUS IMPERIAL CALCASIEU SURGICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Impact Physician Group, Louisiana LLC
• Impact Physician Group, Pediatrics LLC
• Imperial Calcasieu Human Services Authority (LCBHC Childrens Outreach Services)
• Imperial Calcasieu Human Services Authority (ImCal Primary Care)
• Imperial Calcasieu Human Services Authority (ImCal BH Lake Charles)
• Imperial Excellence Transportation/Taxi, LLC
• Imperial Health
• Imperial Health LLP
• Imperial Health LLP
• Imperial Health LLP

• Ambulatory Surgical Clinic/Center in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Ambulatory Surgical Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.