# BATON ROUGE GENERAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073649083
- **Authorized official:** DIONNE E VIATOR CPA, FACHE (SR VP AND CFO)
- **Authorized official phone:** (225) 763-1540

## Contact information

- **Practice address:** 3600 FLORIDA BLVD, BATON ROUGE, LA 70806-3842
- **Practice address phone:** (225) 387-7000
- **Practice address fax:** (225) 381-6129
- **Mailing address:** 3600 FLORIDA BLVD, BATON ROUGE, LA 70806-3842
- **Mailing address phone:** (225) 387-7000
- **Mailing address fax:** (225) 381-6129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 284 | LA | Yes |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1720020 | — | LA |
| 05 | — | 1900065 | — | NC |
| 05 | — | 2594830 | — | OH |
| 05 | — | 371609 | — | AZ |
| 01 | — | 90065 | BLUE CROSS | LA |
| 05 | — | BRG 0065N | — | AL |
| 01 | — | LHVI10 | UNITED HEALTHCARE | — |