Organization
EARL K LONG MEDICAL CENTER
Active
Parent organization
EARL K LONG MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
EARL K LONG MEDICAL CENTER
Authorized official
DR. MICHAEL K BUTLER M.D. (ACTING CEO)
(225) 922-0775
Entity
Organization
Contact information
Practice address
5825 AIRLINE HWY, BATON ROUGE, LA 70805-2408
(225) 358-1000
(225) 358-1003
Mailing address
5825 AIRLINE HWY, BATON ROUGE, LA 70805-2408
(225) 358-1000
(225) 358-1003
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1705071
—
LA
01
—
61029
BCBS PSYCH
LA
Enumeration date
06/09/2006
Last updated
04/28/2008
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