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Contact Information

OUR LADY OF THE LAKE HOSPITAL, INC.
2401 SILVERSIDE DRIVE
BATON ROUGE, LA70808
 Phone: 225-765-7875
 Fax: 225-765-0947
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Custodial Care Facility

311Z00000X
Indicates primary specialty

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

NPI Number 1699971168
LBN Legal business name OUR LADY OF THE LAKE HOSPITAL, INC.
Authorized official ROBERT DAVIDGE - (CHIEF EXECUTIVE OFFICES)
Entity Organization
Organization subpart 1 No
Enumeration date 06/22/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
LA Medicaid 38508
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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