Organization Active NPI

Lane RMC Service Corp

  • Family Medicine Physician
  • Zachary, LA
National Provider Identifier
1407059801
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LANE RMC SERVICE CORP
Practice address
2335 Church Street
Ste E
Zachary, LA 70791
Phone
(225) 654-3607
Fax
(225) 658-2262
NPI assigned
Jun 6, 2007
Last updated
Feb 20, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
LANE REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Randall M Olson
Title
Ceo
Phone
(225) 654-3607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2335 Church Street
Ste E
Zachary, LA 70791

Mailing address

2335 Church Street
Ste E
Zachary, LA 70791
Phone (225) 654-3607

Other identifiers 1

IdentifierTypeStateIssuer
H7716OtherLABLUE CROSS LA

Other names 1

  • Lane After Hours Other name

National Provider Directory

National Provider Directory
Part of
Lane Memorial Hospital

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1407059801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 CHURCH STREET",
            "address_2": "STE E",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "70791",
            "telephone_number": "225-654-3607",
            "fax_number": "225-658-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 CHURCH STREET",
            "address_2": "STE E",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "70791",
            "telephone_number": "225-654-3607",
            "fax_number": "225-658-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE RMC SERVICE CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LANE REGIONAL MEDICAL CENTER",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-654-3607"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS LA",
            "identifier": "H7716",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lane After Hours",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Zachary, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.