Mmg/Moss Campus
LBN: Lcms Rehabilitation Institute Of Southwest Louisiana
Mmg/Moss Campus is an health care organization with primary practice located at 1000 Walters St , Lake Charles LA 70607-4647. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty.
Lcms Rehabilitation Institute Of Southwest Louisiana can be contacted via phone (337) 480-8066, or through Johnson-Hatcher, Dawn via phone (337) 494-2094.
Contact Information
Primary practice address
1000 Walters St
Lake Charles LA 70607-4647
Phone: (337) 480-8066
Fax: (337) 480-8109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | ||
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ||
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X |
Profile Details
| NPI number | 1215161922 |
|---|---|
| LBN Legal business name | Lcms Rehabilitation Institute Of Southwest Louisiana |
| DBA Doing business as | Mmg/Moss Campus |
| Authorized official | Johnson-Hatcher, Dawn |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 8th, 2009 |
| Last updated | Dec 4th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215161922 | NPPES |
| Louisiana | Other | 09-00013263 | OCCUPATIONAL LICENSE |
| Louisiana | MEDICAID | 2353993 | OCCUPATIONAL LICENSE |
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