Organization Active NPI

Southwest Louisiana Hospital Association Inc

Doing business as Rheumatology Associates

  • Rheumatology Physician
  • Lake Charles, LA
National Provider Identifier
1659424075
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC
Doing business as
Rheumatology Associates
Practice address
2900 2ND Ave
Lake Charles, LA 70601-8906
Phone
(337) 480-8994
Fax
(337) 480-8993
NPI assigned
Jan 19, 2007
Last updated
Dec 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Mrs. Dawn Johnson-Hatcher
Title
Cfo
Phone
(337) 494-2094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X Primary

Addresses

Primary practice location

2900 2ND Ave
Lake Charles, LA 70601-8906

Mailing address

PO Box 122539, Dept 2539
Dallas, TX 75312-0001
Phone (337) 480-8994

Other names 1

  • Rheumatology Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080529000876 LA Part A Provider - Hospital 3274427695 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lake Charles, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659424075. Details of each certification follow.

Hospital certification: CCN 190060

Legal name
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC
Doing business as
LAKE CHARLES MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 13, 2023
Beds
407
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
1701 Oak Park Blvd
Lake Charles, LA 70601-8911
Other Hospital Practice Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Lake Charles Memorial HospitalCCN 190060 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
John W Digiglia16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joseph Miller Individual Corporate OfficerBoard Member Jan 1, 2015
Neil Aspinwall Individual Corporate Officer Jan 1, 2018
Mitchell Adrian Individual Corporate OfficerBoard Member Jan 1, 2015
Collin S Bowe Individual Corporate Officer Jan 1, 2026
Benjamin Martin Azevedo Individual Corporate Officer Jan 1, 2026
Clifford Armand Courville Individual Corporate Officer Jan 1, 2019
William R Condos Individual Corporate Officer Jan 1, 2017
Ulysses Thibodeaux Individual Corporate OfficerBoard Member Jan 1, 2015
Denise E Rau Individual Corporate OfficerBoard Member Jan 1, 2015
Steven Gillespie Individual Corporate DirectorDirector of Finance Feb 19, 2026
W-2 Managing EmployeeDirector of Finance Feb 19, 2026
Operational/Managerial ControlDirector of Finance Feb 19, 2026
James Devon Hyde Individual Corporate OfficerCeo Apr 12, 2021
Alyson Irene Jones Individual Corporate Officer Jan 1, 2026
Louis Todd Individual Corporate OfficerBoard Member Jan 1, 2015
Daniel T Hall Individual Corporate Officer Jan 1, 2021

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 465

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 465

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1659424075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122539, DEPT 2539",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753120001",
            "telephone_number": "337-480-8994",
            "fax_number": "337-480-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 2ND AVE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018906",
            "telephone_number": "337-480-8994",
            "fax_number": "337-480-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-HATCHER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "337-494-2094",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rheumatology Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rheumatology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.