NPIMap

Organization Active NPI

Our Lady of the Lake Hospital Inc.

Doing business as Our Lady of the Lake Regional Medical Center

  • General Acute Care Hospital
  • Baton Rouge, LA
National Provider Identifier
1366436123
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
132 Issued in LA
Legal business name
OUR LADY OF THE LAKE HOSPITAL INC.
Doing business as
Our Lady of the Lake Regional Medical Center
Practice address
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone
(225) 470-4739
Fax
(225) 767-1159
NPI assigned
Sep 8, 2005
Last updated
Jan 19, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Authorized official

Name
Mr. Chuck Spicer
Title
Chief Executive Officer
Phone
(225) 765-6565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 132 LA Primary

Addresses

Primary practice location

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375

Mailing address

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 765-6565

Other names 1

  • Our Lady of the Lake Regional Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100226000672 LA Part A Provider - Hospital 0547254377 Practice locations: Walker, LA; Prairieville, LA; Baton Rouge, LA
O20190610001099 LA Part A Provider - Hospital 0547254377 Practice locations: Gonzales, LA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1366436123. Details of each certification follow.

Hospital certification: CCN 190064

Legal name
OUR LADY OF THE LAKE HOSPITAL INC
Doing business as
FMOL HEALTH| OUR LADY OF THE LAKE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 29, 2025
Beds
964
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Sep 28, 1956 in LA
Enrollment address
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Main/Primary Hospital Location
Hospital subgroups
Acute care, Psychiatric unit, Rehabilitation unit

Hospital certification: CCN 190064A

Legal name
OUR LADY OF THE LAKE HOSPITAL INC
Doing business as
FMOL HEALTH| OUR LADY OF THE LAKE
Organization structure
CorporationNon-profit
Incorporated
Sep 28, 1956 in LA
Enrollment address
1125 W Highway 30
Gonzales, LA 70737-5004
Hospital subgroups
Acute care, Psychiatric unit, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Our Lady of the Lake Regional Medical CenterCCN 190064 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Michael P McCarthy MD10 organizations share this tax ID, including this one
Part of
Franciscan Msnries Our Lady

Other organizations with this tax ID 9

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4950 Essen Ln
Rm 3
Baton Rouge, LA 70809
Phone (225) 766-0218

5120 Dijon Dr
Ste A
Baton Rouge, LA 70808

7777 Hennessy Blvd
Ste 406
Baton Rouge, LA 70808
Phone (225) 765-2048

8300 Constantin Blvd
Baton Rouge, LA 70809
Phone (225) 374-1410

9032 Perkins Rd
Baton Rouge, LA 70810
Phone (225) 358-4853

31995 LA Highway 16
Ste B
Denham Springs, LA 70726
Phone (225) 765-7875

1014 Saint Clair Blvd
Fl 2
Gonzales, LA 70737
Phone (225) 647-5017

1125 W Highway 30
Ste 2ND
Gonzales, LA 70737
Phone (225) 743-2111

Interoperability endpoints

  • FHIR API: https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/R4/

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Franciscan Missionaries of Our Lady Health System Inc Organization, Baton Rouge, LA 5% Or Greater Direct Ownership Interest Jul 1, 1966
Scott Richard Individual Operational/Managerial ControlVice President Jul 1, 2024
Operational/Managerial Control Jul 1, 2024
Jennifer J Clowers Individual Corporate Officer Aug 1, 2022
W-2 Managing Employee Aug 1, 2022
Fmol-North American Providence Inc Organization, Baton Rouge, LA 5% Or Greater Direct Ownership Interest Jul 1, 1966

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 13

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Spine Hospital of LouisianaBaton Rouge, LA, CCN 190266 Hospital 5% Or Greater Direct Ownership Interest (35%) Jan 31, 2022
Surgical Specialty Center of Baton RougeBaton Rouge, LA, CCN 190251 Hospital 5% Or Greater Direct Ownership Interest (49%) Aug 31, 2008
Fmol Health| Our Lady of the LakeBaton Rouge, LA, CCN 19S064 Hospital 5% Or Greater Direct Ownership Interest Jan 1, 1990
Our Lady of the Lake Regional Medical CenterBaton Rouge, LA, CCN 19T064 Hospital 5% Or Greater Direct Ownership Interest Jan 1, 1986
Our Lady of the Lake Surgical HospitalSlidell, LA, CCN 190270 Hospital 5% Or Greater Indirect Ownership Interest (33.06%) Oct 1, 2015
Our Lady of the Lake Assumption Community HospitalNapoleonville, LA, CCN 190779 Hospital 5% Or Greater Direct Ownership Interest May 25, 2001
Our Lady of the Lake Regional Medical CenterBaton Rouge, LA, CCN 195566 Skilled nursing facility 5% Or Greater Direct Ownership Interest
Adp of the SNF		 May 15, 2003
Dec 20, 2024
Pinnacle Home Health of ZacharyZachary, LA, CCN 197607 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Jun 18, 2017
Pinnacle Home Health of Baton RougeBaton Rouge, LA, CCN 197770 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Jun 18, 2017
Pinnacle HospiceBaton Rouge, LA, CCN 191662 Hospice 5% Or Greater Direct Ownership Interest (80%)
5% Or Greater Indirect Ownership Interest (100%)		 Jun 18, 2017
Jun 18, 2017
Our Lady of the Lake Physician Group New RoadsNew Roads, LA, CCN 193856 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 19, 2010
Fmol Health Assumption Rural HealthNapoleonville, LA, CCN 193426 Rural health clinic 5% Or Greater Direct Ownership Interest Dec 22, 1997
Our Lady of the Lake Physician Group LLCMaurepas, LA, CCN 193876 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 19, 2010

Owned or controlled facilities with NPI records 13

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 13

Facilities with the same owner 14

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 14

Practitioners & affiliated clinicians

Practitioners 206

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 206

Affiliated clinicians 1,205

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,205

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1366436123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 HENNESSY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084375",
            "telephone_number": "225-765-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 HENNESSY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084375",
            "telephone_number": "225-470-4739",
            "fax_number": "225-767-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF THE LAKE HOSPITAL INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM",
        "enumeration_date": "2005-09-08",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "SPICER",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "225-765-6565",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "LA",
            "license": "132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Our Lady of the Lake Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Our Lady of the Lake Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.