NPIMap

Organization Active NPI

Rural Healthcare Developers of Louisiana LLC

  • Rural Health Clinic/Center
  • Lake Charles, LA
National Provider Identifier
1851537930
Registry record updated Dec 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
534RHC-1 Issued in LA
Legal business name
RURAL HEALTHCARE DEVELOPERS OF LOUISIANA LLC
Doing business as
South Cameron Rural Health Clinic
Practice address
10080 Gulf Hwy
Lake Charles, LA 70607-8672
Phone
(337) 905-4111
Fax
(337) 905-5711
NPI assigned
Dec 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2008

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

Authorized official

Name
Ray Shoemaker
Title
Ceo
Phone
(662) 321-1155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 534RHC-1 LA Primary

Addresses

Primary practice location

10080 Gulf Hwy
Lake Charles, LA 70607-8672

Mailing address

10080 Gulf Hwy
Lake Charles, LA 70607-8672
Phone (337) 905-4111

Other identifiers 1

IdentifierTypeStateIssuer
1944335MedicaidLA

Other names 1

  • South Cameron Rural Health Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rural Healthcare Developers of Louisiana LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229644800000",
    "number": "1851537930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10080 GULF HWY",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706078672",
            "telephone_number": "337-905-4111",
            "fax_number": "337-905-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10080 GULF HWY",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706078672",
            "telephone_number": "337-905-4111",
            "fax_number": "337-905-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL HEALTHCARE DEVELOPERS OF LOUISIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-19",
        "last_updated": "2008-12-19",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-321-1155"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "LA",
            "license": "534RHC-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1944335",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Cameron Rural Health Clinic",
            "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 19, 2008; 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.