# HOSPITAL SERVICE DISTRICT \#1 OF EAST BATON ROUGE PARISH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LANE REGIONAL MEDICAL CENTER-SKILLED NURSING FACILITY
- **Other names:** Lane Nursing Home an affiliate of Lane Regional Medical Center, Lane Regional Medical Center-Skilled Nursing
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225025802
- **Legal business name:** LANE REGIONAL MEDICAL CENTER-SKILLED NURSING FACILITY
- **Authorized official:** MR. PHIL HACKER (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (225) 658-4505

## Contact information

- **Practice address:** 6300 MAIN ST, ZACHARY, LA 70791-4037
- **Practice address phone:** (225) 658-4345
- **Practice address fax:** (225) 658-4192
- **Mailing address:** 6300 MAIN ST, ZACHARY, LA 70791-4037
- **Mailing address phone:** (225) 658-4345
- **Mailing address fax:** (225) 658-4192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 148 | LA | Yes |

## Other

- **Enumeration date:** 09/29/2005
- **Last updated:** 01/26/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1511374 | — | LA |