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Organization

BATON ROUGE PRIMARY CARE COLLABORATIVE, INC.

Active
Other names
St. Vincent de Paul Homeless Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STACIE M. BLAND DNP, FNP-BC (CHIEF EXECUTIVE OFFICER)
(225) 774-1120
Entity
Organization

Contact information

Practice address
2013 CENTRAL RD STE B, BATON ROUGE, LA 70807-3944
(225) 774-1120
(225) 774-1158
Mailing address
2013 CENTRAL ROAD, SUITE B, BATON ROUGE, LA 70807-3918
(225) 774-1120
(225) 774-1158

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
09/29/2009
Last updated
01/19/2024
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