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1770524597 NPI number — W O MOSS REGIONAL MEDICAL CENTER

NPI Number: 1770524597
Health Care Provider/Practitioner: W O MOSS REGIONAL MEDICAL CENTER

Information about “1770524597” NPI (W O MOSS REGIONAL MEDICAL CENTER) exists in 1770524597 in HTML format HTML  |  1770524597 in plain Text format TXT  |  1770524597 in PDF (Portable Document Format) PDF  |  1770524597 in an XML format XML  formats.

NPI Number : 1770524597 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770524597",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "W O MOSS REGIONAL MEDICAL CENTER",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1000 WALTERS ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKE CHARLES",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70607-4647",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "337-475-8100",
    "MailingAddressFaxNumber": "337-475-8104",
    "FirstLinePracticeLocationAddress": "1000 WALTERS ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAKE CHARLES",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70607-4647",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "337-475-8100",
    "PracticeLocationAddressFaxNumber": "337-475-8104",
    "EnumerationDate": "06/10/2006",
    "LastUpdateDate": "09/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SMITHBURG",
    "AuthorizedOfficialFirstName": "DONALD",
    "AuthorizedOfficialMiddleName": "R",
    "AuthorizedOfficialTitle": "VICE CHANCELLOR CEO",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "225-922-1474",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "282N00000X",
          "TaxonomyName": "General Acute Care Hospital",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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