Organization
BATON ROUGE GENERAL MEDICAL CENTER
Active
Other names
Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL A JOHNSON (CFO)
(225) 237-1645
Entity
Organization
Contact information
Practice address
3401 NORTH BLVD STE 200, BATON ROUGE, LA 70806-3743
(225) 381-6620
(225) 381-6629
Mailing address
8490 PICARDY AVE, BLDG 200, BATON ROUGE, LA 70809-3731
(225) 237-1754
(225) 237-1722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1943053
—
LA
01
—
CC5865
RAILROAD MEDICARE
LA
Enumeration date
07/27/2006
Last updated
12/26/2018
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