Imperial Calcasieu Human Services Authority
Imperial Calcasieu Human Services Authority is an Adult Medicine Physician in Lake Charles, Louisiana. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 3
Practice location Address checks out
4105 Kirkman StLake Charles, LA 70607-4603
Phone: (337) 475-8022
Fax: (337) 475-8054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|---|
| Adult Medicine Physician | Taxonomy 207QA0505X |
| Primary Care Clinic/Center | Taxonomy 261QP2300X |
Record details
| NPI number | 1598245623 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Angela Thomas — Billing Supervisor · (337) 475-8701 |
| Other names | Imcal Primary Care; Imcal Primary Care; Imperial Calcasieu Hsa Primary Care |
| NPI enumerated | August 17, 2018 |
| Last updated in NPPES | July 19, 2022 |
| Certification date | July 19, 2022 |
| Mailing address | 4105 Kirkman St, Lake Charles, LA 70607-4603 |
Other providers in Lake Charles
-
Geriatric Resources, Inc
6464 Corbina Rd, Lake Charles, LA 70607-7674 · (337) 562-6774
-
Imperial Calcasieu Human Services Authority
4105 Kirkman St, Lake Charles, LA 70607-4603 · (337) 475-8022
-
Ricardo Samudia, MD
1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 · (337) 475-8100