Organization Active NPI

Our Lady of Lourdes Regional Medical Center

  • Medical Specialty Clinic/Center
  • Lafayette, LA
National Provider Identifier
1851581896
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MD.200283 Issued in LA
Legal business name
OUR LADY OF LOURDES REGIONAL MEDICAL CENTER
Practice address
3220 Kaliste Saloom Rd
Lafayette, LA 70508-7422
Phone
(337) 406-9474
Fax
(337) 406-1027
NPI assigned
Jul 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Ms. Kim L Hebert
Title
Cfo
Phone
(337) 470-4380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X MD.200283 LA Primary

Addresses

Primary practice location

3220 Kaliste Saloom Rd
Lafayette, LA 70508-7422

Mailing address

3220 Kaliste Saloom Rd
Lafayette, LA 70508-7422
Phone (337) 406-9474

Other identifiers 1

IdentifierTypeStateIssuer
1075736MedicaidLA

Other names 1

  • Kelly T Cahill Jr MD Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D1071349Kelly T Cahill Jr MD3220 Kaliste Saloom, Lafayette, LA 70508Provider-performed microscopyJul 23, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Locations

3824 NE Evangeline Thruway
#B
Carencro, LA 70520
Phone (337) 896-3336

3220 Kaliste Saloom Rd
Ste A
Lafayette, LA 70508
Phone (337) 406-9474

501 W Saint Mary Blvd
Ste 300
Lafayette, LA 70506
Phone (337) 234-1945

5000 Ambassador Caffery Pkwy
Bldg 6B
Lafayette, LA 70508
Phone (337) 984-1124

3220 Kaliste Saloom Rd
#A
Lafayette, LA 70508
Phone (337) 406-9474

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1851581896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 KALISTE SALOOM RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087422",
            "telephone_number": "337-406-9474",
            "fax_number": "337-406-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 KALISTE SALOOM RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087422",
            "telephone_number": "337-406-9474",
            "fax_number": "337-406-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF LOURDES REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "HEBERT",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "337-470-4380",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "LA",
            "license": "MD.200283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1075736",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelly T Cahill Jr MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.