Organization · NPI-2
Our Lady Of The Lake Hospital, INC.
Rehabilitation Unit · Baton Rouge, LA
NPI number1497742365
StatusActive
Last updated in NPPESFeb 24, 2022
Details
- NPI
- 1497742365
- Entity type
- Organization (NPI-2)
- Legal business name
- Our Lady Of The Lake Hospital, INC.
- Organization subpart
- No
- Enumeration date
- Oct 5, 2005
- Certification date
- Feb 24, 2022
- Last updated
- Feb 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 273Y00000X | Rehabilitation Unit | – | – | Yes |
Other names
- Our Lady Of The Lake Regional Medical Center (Doing Business As)
Practice location
5000 Hennessy BlvdBaton Rouge, LA 70808-4375
Phone 225-765-6565 · Fax 225-767-1159
Mailing address
5000 Hennessy BlvdBaton Rouge, LA 70808-4375
Phone 225-765-7702
Authorized official
Robert C. Davidge
Chief Executive Officer
2257657702
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.