NPIMap

Organization Active NPI

Southwest Louisiana Hospital Association Inc

  • Community/Retail Pharmacy
  • Lake Charles, LA
National Provider Identifier
1881349777
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC
Practice address
2770 3Rd Ave Ste 140
Lake Charles, LA 70601-8994
Phone
(337) 494-2024
Fax
(337) 494-6536
NPI assigned
Feb 18, 2022
Organization subpart
Yes
Parent organization
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATIONAs 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

2770 3Rd Ave Ste 140
Lake Charles, LA 70601-8994

Mailing address

2770 3Rd Ave Ste 140
Lake Charles, LA 70601-8994
Phone (337) 494-2024

Other names 1

  • Lake Charles Memorial Specialty Pharmacy Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220831003205 LA DME Supplier - Pharmacy 3274427695 Practice locations: Lake Charles, LA

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Lake Charles Memorial Hospital2770 3Rd Ave, Lake Charles, LA 70601-8994(337) 494-2024 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Aug 23, 2001

National Provider Directory

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

Other organizations with this tax ID 15

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

View all 15

Locations

2770 3rd Ave
Ste 140
Lake Charles, LA 70601
Phone (337) 494-2024

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lake Charles Memorial HospitalLake Charles, LA, CCN 19T060 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2014
Lake Charles Memorial HospitalLake Charles, LA, CCN 19S060 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2014
Home Health Agency of Lake Charles Memorial HospitalLake Charles, LA, CCN 197005 Home health agency 5% Or Greater Direct Ownership Interest (100%) Feb 7, 1973
Iowa Health CenterIowa, LA, CCN 193408 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Jun 1, 2010

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1881349777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 3RD AVE STE 140",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018994",
            "telephone_number": "337-494-2024",
            "fax_number": "337-494-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 3RD AVE STE 140",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018994",
            "telephone_number": "337-494-2024",
            "fax_number": "337-494-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION",
        "enumeration_date": "2022-02-18",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Charles Memorial Specialty Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Lake Charles Memorial Specialty Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.