# LSAHSC EARL K. LONG MEDICAL CENTER

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

## Provider details

- **NPI number:** 1649327107
- **Authorized official:** CAMILLE ELSBURY CPCS (EKL MEDICAL STAFF DEPT. MANAGER)
- **Authorized official phone:** (225) 354-2051

## Contact information

- **Practice address:** 1401 N FOSTER DR, BATON ROUGE, LA 70806-1818
- **Practice address phone:** (225) 987-9013
- **Mailing address:** 17010 ABITA AVENUE, PRAIRIEVILLE, LA 70769
- **Mailing address phone:** (225) 266-5177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | DPM.PD0105 | LA | Yes |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 08/22/2020