NPIMap

Organization Active NPI

Our Lady of the Lake RMC

  • General Acute Care Hospital
  • Harvey, LA
National Provider Identifier
1104244078
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
LRT.000756 Issued in LA
Legal business name
OUR LADY OF THE LAKE RMC
Practice address
1145 Beechwood Dr
Harvey, LA 70058-4332
Phone
(504) 621-5247
NPI assigned
Mar 28, 2014
Last updated
Mar 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shantelle Graves, B.S.R.R.T
Title
Director of Clinical Education
Phone
(225) 202-4578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X LRT.000756 LA Primary

Addresses

Primary practice location

1145 Beechwood Dr
Harvey, LA 70058-4332

Mailing address

1145 Beechwood Dr
Harvey, LA 70058-4332
Phone (504) 621-5247

National Provider Directory

National Provider Directory
Tax ID family
Clay a Waggenspack MD10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1104244078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 BEECHWOOD DR",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700584332",
            "telephone_number": "504-621-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 BEECHWOOD DR",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700584332",
            "telephone_number": "504-621-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF THE LAKE RMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "SHANTELLE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL EDUCATION",
        "authorized_official_telephone_number": "225-202-4578",
        "authorized_official_credential": "B.S.R.R.T"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "LA",
            "license": "LRT.000756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.