NPIMap

Organization Active NPI

Swlhs LLC

Doing business as Internal Medicine Clinic of Lake Charles

  • Internal Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1669494654
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SWLHS LLC
Doing business as
Internal Medicine Clinic of Lake Charles
Practice address
2770 3Rd Ave Ste 300
Lake Charles, LA 70601-8994
Phone
(337) 494-6800
Fax
(337) 494-4696
NPI assigned
Jul 25, 2006
Last updated
Dec 4, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHWEST LOUISIANA HEALTH CARE SYSTEM, INC.As reported in NPPES

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2770 3Rd Ave Ste 300
Lake Charles, LA 70601-8994

Mailing address

PO Box 122205 Dept 2205
Dallas, TX 75312-2205
Phone (337) 494-2921

Other practice location 1

2770 3rd Ave Ste 320
Lake Charles, LA 70601-8994
Phone (337) 494-6800

Other practice location 2

4345 Nelson Rd Ste 201
Lake Charles, LA 70605-4183
Phone (337) 494-6800

Other practice location 3

1717 Oak Park Blvd Fl 1
Lake Charles, LA 70601-8977
Phone (337) 494-6800

Other identifiers 1

IdentifierTypeStateIssuer
1946141MedicaidLA

Other names 1

  • INTERNAL MEDICINE CLINIC OF LAKE CHARLES Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080128000232 LA Part B Supplier - Clinic/Group Practice 6406938612 Receives reassigned benefits from 17 practitioners
Practice locations: Jennings, LA; Lake Charles, LA

National Provider Directory

National Provider Directory

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

2770 3rd Ave
Ste 320
Lake Charles, LA 70601
Phone (337) 494-6800

4345 Nelson Rd
Ste 201
Lake Charles, LA 70605
Phone (337) 494-6800

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1669494654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122205 DEPT 2205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753122205",
            "telephone_number": "337-494-2921",
            "fax_number": "337-494-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 3RD AVE STE 300",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018994",
            "telephone_number": "337-494-6800",
            "fax_number": "337-494-4696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2770 3rd Ave Ste 320",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706018994",
            "country_code": "US",
            "telephone_number": "337-494-6800",
            "fax_number": "337-494-4671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4345 Nelson Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706054183",
            "country_code": "US",
            "telephone_number": "337-494-6800",
            "fax_number": "337-494-6811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1717 Oak Park Blvd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706018977",
            "country_code": "US",
            "telephone_number": "337-494-6800",
            "fax_number": "337-494-6761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SWLHS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST LOUISIANA HEALTH CARE SYSTEM, INC.",
        "enumeration_date": "2006-07-25",
        "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"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1946141",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTERNAL MEDICINE CLINIC OF LAKE CHARLES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.