| Our Lady Of The Lake Regional Medical Center | |
|
5000 Hennessy Blvd Baton Rouge LA 70808-4375 | |
| (225) 765-6565 | |
| (225) 767-1159 |
| Full Name | Our Lady Of The Lake Regional Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 5000 Hennessy Blvd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | K Scott Wester (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2257657702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Lady Of The Lake Regional Medical Center 5000 Hennessy Blvd Baton Rouge LA 70808-4375 Ph: (225) 765-7702 | Our Lady Of The Lake Regional Medical Center 5000 Hennessy Blvd Baton Rouge LA 70808-4375 Ph: (225) 765-6565 |
| NPI Number | 1164419198 |
|---|---|
| Provider Enumeration Date | 10/04/2005 |
| Last Update Date | 02/24/2022 |
| Certification Date | 02/24/2022 |
| Medicare PECOS PAC ID | 0547254377 |
|---|---|
| Medicare Enrollment ID | O20100226000593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164419198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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