Healthcare Provider Details

I. General information

NPI: 1811023823
Provider Name (Legal Business Name): BATON ROUGE GENERAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 07/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 FLORIDA BLVD
BATON ROUGE LA
70806-3842
US

IV. Provider business mailing address

3600 FLORIDA BLVD
BATON ROUGE LA
70806-3842
US

V. Phone/Fax

Practice location:
  • Phone: 225-387-7000
  • Fax: 225-381-6129
Mailing address:
  • Phone: 225-387-7000
  • Fax: 225-381-6129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number284
License Number StateLA

VIII. Authorized Official

Name: DIONNE E VIATOR
Title or Position: SR VP AND CFO
Credential: CPA, FACHE
Phone: 225-763-1540