Healthcare Provider Details

I. General information

NPI: 1689592438
Provider Name (Legal Business Name): HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6420 GROOM RD
BAKER LA
70714-4336
US

IV. Provider business mailing address

PO BOX 674924
DALLAS TX
75267-4924
US

V. Phone/Fax

Practice location:
  • Phone: 225-658-6790
  • Fax: 225-658-6791
Mailing address:
  • Phone: 225-658-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. FRANK CORCORAN
Title or Position: CEO
Credential:
Phone: 225-658-4303