Organization
BATON ROUGE GENERAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIONNE E VIATOR CPA, FACHE (SR VP AND CFO)
(225) 763-1540
Entity
Organization
Contact information
Practice address
3600 FLORIDA BLVD, BATON ROUGE, LA 70806-3842
(225) 387-7000
(225) 381-6129
Mailing address
3600 FLORIDA BLVD, BATON ROUGE, LA 70806-3842
(225) 387-7000
(225) 381-6129
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
284
LA
Other
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
—
Enumeration date
02/26/2007
Last updated
08/22/2020
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