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Hospital Service District 1 of East Baton Rouge Parish

Organization Active NPI Dermatology Physician · Zachary, LA

NPI 1992477111 · NPPES record last updated Jul 20, 2026

Key facts

NPI
1992477111
Entity type
Organization (NPI type 2)
Primary specialty
Dermatology Physician 207N00000X
Legal business name
HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH
Practice address
4801 McHugh Rd Ste C
Zachary, LA 70791-5364
Phone
(225) 658-4065
Fax
(225) 570-2986
NPI assigned
Oct 5, 2021
Organization subpart
Yes
Parent organization (as reported)
HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH

Authorized official

Name
Frank A Corcoran
Title
Chief Executive Officer
Phone
(225) 658-4303

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 20

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

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

Practitioners 1

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

Affiliated clinicians 266

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

View all 266

Medicare Care Compare: Hospital

Listed as
Lane Regional Medical Center CCN 190020
Overall star rating
★★★☆☆ 3 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in LA

Hospital certification: CCN 190020

Legal name
HOSPITAL SERVICE DISTRICT #1 OF EAST BATON ROUGE PARISH
Doing business as
LANE REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 24, 2024
Beds
166
Ownership / control type
Hospital district or authority
Organization structure
Other · Non-profit
Enrollment address
6300 Main St
Zachary, LA 70791-4037
Main/Primary Hospital Location
Hospital subgroups
Acute care

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Frank Ashton Corcoran
Individual 		Corporate Director
Chief Executive Officer		 Jan 13, 2025
Operational/Managerial Control
Chief Executive Officer		 Jan 13, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040322000429 LA Part B Supplier - Clinic/Group Practice 0941191902 Receives reassigned benefits from 76 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Zachary, LA
O20070918000362 LA Part a Provider - Hospital 0941191902 5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Zachary, LA

National Provider Directory

Tax ID family
Wayne D Gravois (21 organizations share this tax ID)
Part of
Wayne D Gravois

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207N00000X Yes
Procedural Dermatology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207NS0135X

Addresses

Primary practice location

4801 McHugh Rd Ste C
Zachary, LA 70791-5364

Mailing address

PO Box 674924
Dallas, TX 75267-4924

Other names

  • LANE REGIONAL MEDICAL CENTER-LANE DERMATOLOGY Doing business as

Other providers in Zachary, LA

All providers in Zachary, LA · Dermatology Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.