Organization
CHAMPION MEDICAL CENTER LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM BAUS (DIRECTOR BILLING)
(214) 517-9884
Entity
Organization
Contact information
Practice address
7855 HOWELL PLACE BLVD, BATON ROUGE, LA 70807-5256
(214) 517-9884
Mailing address
7855 HOWELL PLACE BLVD, BATON ROUGE, LA 70807-5256
(214) 517-9884
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
—
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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