Imperial Health LLP
Family Medicine in Lake Charles, LA. Organization (NPI-2).
NPI number1790033744
StatusActive
Last updated in NPPESApr 15, 2013
Details
- NPI
- 1790033744
- Entity type
- Organization (NPI-2)
- Legal business name
- Imperial Health LLP
- Organization subpart
- No
- Enumeration date
- Aug 23, 2012
- Last updated
- Apr 15, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
277 N Highway 171 Ste 8Lake Charles, LA 70611-5374
Phone 337-433-8400
Mailing address
501 Dr Michael Debakey DrLake Charles, LA 70601-5724
Phone 337-433-8400 · Fax 337-312-6708
Authorized official
Kris Hickingbottom
Ceo
3374338400
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