South Cameron Rural Health Clinic

LBN: Pacer Health Management Corporation
South Cameron Rural Health Clinic is an health care organization with primary practice located at 10080 Gulf Highway , Lake Charles LA 70607-8672. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Pacer Health Management Corporation can be contacted via phone (337) 905-4111, or through Shoemaker, Ray L. via phone (662) 321-1155.

Contact Information

Primary practice address
10080 Gulf Highway Lake Charles LA 70607-8672
Phone: (337) 905-4111
Fax: (337) 905-5711
Website:
Map and Directions
Authorized official contact:
Name: Shoemaker, Ray L.
Phone: (662) 321-1155

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 534 Louisiana

Profile Details

NPI number 1497896153
LBN Legal business name Pacer Health Management Corporation
DBA Doing business as South Cameron Rural Health Clinic
Authorized official Shoemaker, Ray L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 8th, 2007
Last updated Apr 8th, 2010 - about 15 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497896153 NPPES
Louisiana Other H1471 BCBS
Louisiana MEDICAID 1944335 BCBS
Louisiana Other H1471 BCBS

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