Organization
MARY BIRD PERKINS CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB KRAFT (DECISION SUPPORT MANAGER)
(225) 215-1281
Entity
Organization
Contact information
Practice address
4950 ESSEN LN, BATON ROUGE, LA 70809-3738
(225) 767-0847
(225) 767-1335
Mailing address
5215 ESSEN LN STE 200, BATON ROUGE, LA 70809-3543
(225) 215-1281
(225) 215-1380
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2683900
—
LA
Enumeration date
11/08/2024
Last updated
07/21/2025
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