OLOL COMPREHENSIVE CHRONIC CARE CENTER – NPI #1326180696
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

OLOL COMPREHENSIVE CHRONIC CARE CENTER is a surgeon located in BATON ROUGE, LA. NPPES has assigned the NPI number 1326180696 to OLOL COMPREHENSIVE CHRONIC CARE CENTER on February 13, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “OLOL COMPREHENSIVE CHRONIC CARE CENTER” is a dba name, the actual legal business name for this organization is OUR LADY OF THE LAKE HOSPITAL INC. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OLOL COMPREHENSIVE CHRONIC CARE CENTER below.

NPI Profile for
OUR LADY OF THE LAKE HOSPITAL INC

NPI Number
1326180696
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OUR LADY OF THE LAKE HOSPITAL INC
Doing Business As (dba): OLOL COMPREHENSIVE CHRONIC CARE CENTER
Primary location
7777 HENNESSY BLVD
PLAZA 1 SUITE 306
BATON ROUGE, LA 70808
Phone: (225) 765-4361 Fax: (225) 765-4062
Mailing address
8415 GOODWOOD BLVD
SUITE 105
BATON ROUGE, LA 70806
Phone: (225) 765-4361 Fax: (225) 765-4062
Organization Subpart
No
Authorized Official
ROBERT DAVIDGE
CEO
Phone: (225) 765-8802
Updated
Identifiers

Identifiers for OLOL COMPREHENSIVE CHRONIC CARE CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDLA1150436
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.