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Contact Information

OUR LADY OF THE LAKE HOSPITAL, INC
5000 HENNESSY BLVD
BATON ROUGE, LA70808-4375
 Phone: 225-765-7163
 Fax: 225-765-7164
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for OUR LADY OF THE LAKE HOSPITAL, INC

NPI # 1093947905
LBN Legal business name OUR LADY OF THE LAKE HOSPITAL, INC
Authorized official JEFFERY LIMBOCKER - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/12/2009
Last updated 04/15/2011 - About 15 years ago
Identifiers
LA Medicaid 1447129
MS Medicaid 08775372
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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