Pediatric Specialty Clinic
LBN: Our Lady Of The Lake Hospital Inc
Pediatric Specialty Clinic is an health care organization with primary practice located at 5000 Hennessy Blvd , Baton Rouge LA 70808-4375. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Endocrinology, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is the primary health care specialty.
Our Lady Of The Lake Hospital Inc can be contacted via phone (225) 766-5204, or through White, Tamara via phone (225) 765-4251.
Contact Information
Primary practice address
5000 Hennessy Blvd
Baton Rouge LA 70808-4375
Phone: (225) 766-5204
Fax: (225) 765-4062
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery | 207XP3100X | ||
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | ||
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | ||
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X |
Profile Details
| NPI number | 1952355125 |
|---|---|
| LBN Legal business name | Our Lady Of The Lake Hospital Inc |
| DBA Doing business as | Pediatric Specialty Clinic |
| Authorized official | White, Tamara |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | May 11th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952355125 | NPPES |
| Mississippi | MEDICAID | 08775372 | |
| Mississippi | MEDICAID | 1447129 |
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