NPIMap

Organization Active NPI

Oac LLC

Doing business as Vital Source Specialty Hospital

  • General Acute Care Hospital
  • Baton Rouge, LA
National Provider Identifier
1366411662
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
OAC LLC
Doing business as
Vital Source Specialty Hospital
Practice address
5130 Mancuso Lane
Baton Rouge, LA 70809-3583
Phone
(225) 766-5001
Fax
(225) 766-5001
NPI assigned
Mar 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Authorized official

Name
Ms. Julie Allen-Tullier
Title
Business Office Director Vitalsourc
Phone
(225) 766-5001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

5130 Mancuso Lane
Baton Rouge, LA 70809-3583

Mailing address

5130 Mancuso Lane
Baton Rouge, LA 70809-3583
Phone (225) 766-5001

Other identifiers 1

IdentifierTypeStateIssuer
190061363ZOtherLABLUE CROSS OF LA

Other names 1

  • Vital Source Specialty Hospital Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1366411662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 MANCUSO LANE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093583",
            "telephone_number": "225-766-5001",
            "fax_number": "225-766-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 MANCUSO LANE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093583",
            "telephone_number": "225-766-5001",
            "fax_number": "225-766-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "ALLEN-TULLIER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR VITALSOURC",
        "authorized_official_telephone_number": "225-766-5001",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF LA",
            "identifier": "190061363Z",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Source Specialty Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.