# BATON ROUGE GENERAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184648651
- **Authorized official:** KENDALL A JOHNSON (CFO)
- **Authorized official phone:** (225) 237-1645

## Contact information

- **Practice address:** 3401 NORTH BLVD STE 200, BATON ROUGE, LA 70806-3743
- **Practice address phone:** (225) 381-6620
- **Practice address fax:** (225) 381-6629
- **Mailing address:** 8490 PICARDY AVE, BLDG 200, BATON ROUGE, LA 70809-3731
- **Mailing address phone:** (225) 237-1754
- **Mailing address fax:** (225) 237-1722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 12/26/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1943053 | — | LA |
| 01 | — | CC5865 | RAILROAD MEDICARE | LA |