Organization
HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH
Active
Other names
LANE REGIONAL MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL M OLSON (CHIEF EXECUTIVE OFFICER)
(225) 658-4303
Entity
Organization
Contact information
Practice address
6300 MAIN STREET, ZACHARY, LA 70791
(225) 658-4316
(225) 658-4274
Mailing address
6300 MAIN STREET, ZACHARY, LA 70791
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33906
BC SNF
—
Enumeration date
05/05/2006
Last updated
09/10/2007
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