COASTAL SURGERY CENTER, LLC
NPI 1962633636
Clinic/Center - Pain in Lake Charles, LA

Active since July 29, 2009
215 W PRIEN LAKE RD, SUITE B, LAKE CHARLES, LA 70601(337) 477-9019(337) 478-1290 Get Directions Write a Review

NPPES record last updated: April 22, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coastal Surgery Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL SURGERY CENTER, LLC (NPI 1962633636) is a healthcare organization registered as a pain in Lake Charles, Louisiana and active in the NPI registry since July 2009. The organization lists Kristi Widcamp, Manager, as its authorized official.

NPPES Registry Identity

NPI1962633636
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameCOASTAL SURGERY CENTER, LLC
Location Address215 W PRIEN LAKE RD, SUITE BLake Charles, LA 70601-8450
Mailing AddressPo Box 4838Lake Charles, LA 70606-4838 · (337) 477-9019 · Fax (337) 478-1290
Fax(337) 478-1290
Organization SubpartNo
Authorized OfficialKristi WidcampManager · (337) 477-9019
Enumeration DateJuly 29, 2009
Last NPPES UpdateApril 22, 2013
NPI 1962633636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
215 W PRIEN LAKE RD, Lake Charles, LA 70601

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
215 W PRIEN LAKE RD
LAKE CHARLES, LA 70601
Surgery (Plastic and Reconstructive Surgery)
215 W PRIEN LAKE RD
LAKE CHARLES, LA 70601
Nurse Anesthetist, Certified Registered
215 W PRIEN LAKE RD
LAKE CHARLES, LA 70601
Nurse Practitioner (Family)
215 W PRIEN LAKE RD
LAKE CHARLES, LA 70601
Plastic Surgery
215 W PRIEN LAKE RD
LAKE CHARLES, LA 70601
Clinic/Center (Ambulatory Surgical)
215 W PRIEN LAKE RD, SUITE B
LAKE CHARLES, LA 70601
Surgery
215 W PRIEN LAKE RD, SUITE A
LAKE CHARLES, LA 70601
Surgery
215 W PRIEN LAKE RD, SUITE A
LAKE CHARLES, LA 70601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Surgery Center, LLC's NPI number?

The NPI number for Coastal Surgery Center, LLC is 1962633636. It was assigned to this organization in the NPPES registry on July 29, 2009.

Where is Coastal Surgery Center, LLC located?

Coastal Surgery Center, LLC is located at 215 W Prien Lake Rd Suite B, Lake Charles, LA 70601. The listed phone number is (337) 477-9019.

What is Coastal Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

When was this NPI record last updated?

The NPPES record for Coastal Surgery Center, LLC was last updated on April 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.