Organization
HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH
Active
Other names
Lane Regional Medical Center- Acute Hospital, LANE REGIONAL MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL HACKER (CHIEF FINANCIAL OFFICER)
(225) 658-4505
Entity
Organization
Contact information
Practice address
6300 MAIN STREET, ZACHARY, LA 70791
(225) 658-4316
(225) 658-4297
Mailing address
6300 MAIN STREET, ZACHARY, LA 70791
(225) 658-4316
(225) 658-4297
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
131
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720101
—
LA
01
—
90020
BLUE CROSS
LA
Enumeration date
05/05/2006
Last updated
01/26/2020
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