Organization Active NPI

Pacer Health Management Corporation

Doing business as South Cameron Memorial Longterm Care

  • Medicare Defined Swing Bed Hospital Unit
  • Cameron, LA
National Provider Identifier
1174664833
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
534 Issued in LA
Legal business name
PACER HEALTH MANAGEMENT CORPORATION
Doing business as
South Cameron Memorial Longterm Care
Practice address
5360 West Creole Hwy
Cameron, LA 70631-5127
Phone
(337) 542-4111
Fax
(337) 542-4110
NPI assigned
Feb 8, 2007
Last updated
Feb 7, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
PACER HEALTH MANAGEMENT CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 534 LA Primary

Addresses

Primary practice location

5360 West Creole Hwy
Cameron, LA 70631-5127

Mailing address

5360 West Creole Hwy
Cameron, LA 70631-5127
Phone (337) 542-4111

Other identifiers 3

IdentifierTypeStateIssuer
30985OtherLABCBS
30985OtherLABLUE CROSS
1510874MedicaidLA

Other names 1

  • South Cameron Memorial Longterm Care Doing business as

National Provider Directory

National Provider Directory
Part of
Pacer Health Management Corporation

Locations

428 Marshall St
Cameron, LA 70631
Phone (337) 775-5711

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.

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": "1174664833",
    "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": "5360 WEST CREOLE HWY",
            "city": "CAMERON",
            "state": "LA",
            "postal_code": "706315127",
            "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": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "LA",
            "license": "534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30985",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "30985",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510874",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Cameron Memorial Longterm Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cameron, LA

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.

Verify at the official NPI Registry.