MEDICARE: OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282NC0060X	Critical Access Hospital		LA
2	282N00000X	General Acute Care Hospital		LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598766495
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC

Provider Business Mailing Address
First Line	:	4801 AMBASSADOR CAFFERY PKWY
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-6917
Country	:	US
Telephone Number	:	337-470-2000
Fax Number	:	337-289-2170

Provider Business Practice Location Address
First Line	:	4801 AMBASSADOR CAFFERY PKWY
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-6917
Country	:	US
Telephone Number	:	337-470-2000
Fax Number	:	337-289-2170

Authorized Official
Title or Position	:	CEO
Name	:	STEPHANIE MANSON
Credential	:
Telephone Number	:	337-470-2700

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	12/23/2025

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