Active NPI
Lane RMC Service Corp
- Family Medicine Physician
- Zachary, LA
National Provider Identifier
1407059801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2008
- Organization subpart
- Yes
- Parent organization
- LANE REGIONAL MEDICAL CENTER
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H7716 | Other | LA | BLUE CROSS LA |
Other names 1
- Lane After Hours
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.
-
- Registered Dietitian
- Zachary, LA
- NPI 1255087128
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.