Provider Demographics
NPI:1932204427
Name:NMC OPERATING COMPANY LLC
Entity Type:Organization
Organization Name:NMC OPERATING COMPANY LLC
Other - Org Name:THE SPINE HOSPITAL OF LOUISIANA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:L
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-906-4805
Mailing Address - Street 1:10105 PARK ROWE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810
Mailing Address - Country:US
Mailing Address - Phone:225-906-4807
Mailing Address - Fax:225-906-4818
Practice Address - Street 1:10105 PARK ROWE CIRCLE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810
Practice Address - Country:US
Practice Address - Phone:225-906-4807
Practice Address - Fax:225-906-4818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA543282N00000X
282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA60807OtherBLUE CROSS BLUE SHIELD
LA1707082Medicaid
LA60807OtherBLUE CROSS BLUE SHIELD
LA1707082Medicaid