Provider Demographics
NPI:1942413612
Name:HUNTER MCGUIRE MEDICAL CENTER
Entity Type:Organization
Organization Name:HUNTER MCGUIRE MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:MONTGOMERY
Authorized Official - Last Name:RIGG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-478-3177
Mailing Address - Street 1:1510 W MCNEESE ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605-4242
Mailing Address - Country:US
Mailing Address - Phone:337-478-3177
Mailing Address - Fax:337-474-9672
Practice Address - Street 1:1510 W MCNEESE ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605-4242
Practice Address - Country:US
Practice Address - Phone:337-478-3177
Practice Address - Fax:337-474-9672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN071496261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care