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NPI Code Detail

MEDICARE: HOSPITAL SERVICE DISTRICT #1 OF EAST BATON ROUGE PARISH

MEDICARE: HOSPITAL SERVICE DISTRICT #1 OF EAST BATON ROUGE PARISH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1313M00000XNursing Facility/Intermediate Care Facility148LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225025802
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOSPITAL SERVICE DISTRICT #1 OF EAST BATON ROUGE PARISH
Provider Business Mailing Address
First Line : 6300 MAIN ST
Second Line :
City : ZACHARY
State : LA
Zip : 70791-4037
Country : US
Telephone Number : 225-658-4345
Fax Number : 225-658-4192
Provider Business Practice Location Address
First Line : 6300 MAIN ST
Second Line :
City : ZACHARY
State : LA
Zip : 70791-4037
Country : US
Telephone Number : 225-658-4345
Fax Number : 225-658-4192
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. PHIL HACKER
Credential :
Telephone Number : 225-658-4505
Provider Enumeration Date : 09/29/2005
Last Update Date : 01/26/2020

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Directions to “HOSPITAL SERVICE DISTRICT #1 OF EAST BATON ROUGE PARISH ” Practice Location

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