Active NPI
Our Lady of Lourdes Regional Medical Center Inc
- Rehabilitation Hospital
- Lafayette, LA
National Provider Identifier
1417946377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital
- Legal business name
- OUR LADY OF LOURDES REGIONAL MEDICAL CENTER INC
- Practice address
- 4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917 - Phone
- (337) 289-2000
- Fax
- (337) 289-2170
- NPI assigned
- Oct 13, 2005
- Organization subpart
- Yes
- Parent organization
- OUR LADY OF LOURDES REGIONAL MEDICAL CENTER INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Bryan Lee
- Title
- Ceo
- Phone
- (337) 289-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | LA | Primary |
Addresses
Primary practice location
4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Mailing address
611 Saint Landry St
Lafayette, LA 70506-4627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720445 | Medicaid | LA |
National Provider Directory
National Provider Directory- Part of
- Our Lady of Lourdes ER
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
611 Saint Landry St
Lafayette, LA 70506
Phone (337) 289-2000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542585600000",
"number": "1417946377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 SAINT LANDRY ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705064627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 AMBASSADOR CAFFERY PKWY",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705086917",
"telephone_number": "337-289-2000",
"fax_number": "337-289-2170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUR LADY OF LOURDES REGIONAL MEDICAL CENTER INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OUR LADY OF LOURDES REGIONAL MEDICAL CENTER INC",
"enumeration_date": "2005-10-13",
"last_updated": "2018-11-19",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "BRYAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "337-289-2000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720445",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
- Our Lady of Lourdes Regional Medical Center
- Our Lady of Lourdes Regional Medical Center
- Our Lady of Lourdes Regional Medical Center
- Our Lady of Lourdes Regional Medical Center
- Our Lady of Lourdes Regional Medical Center Dba John Charles Dugal, M.
- Our Lady of Lourdes Regional Medical Center Inc
- Our Lady of Lourdes Regional Medical Center, Inc
- Our Lady of Lourdes Regional Medical Center, Inc.
- Our Lady of Lourdes RMC
- Our Lady of Lourdes RMC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.