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NPI Code Detail

MEDICARE: EARL K. LONG MEDICAL CENTER

MEDICARE: EARL K. LONG MEDICAL CENTER
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
1282N00000XGeneral Acute Care Hospital
2363A00000XPhysician Assistant
3363L00000XNurse Practitioner
4367500000XCertified Registered Nurse Anesthetist

Other Identifiers

General Provider Information

NPI Number : 1720020720
Entity Type Code : Organization
Provider Name (Legal Business Name) : EARL K. LONG MEDICAL CENTER
Provider Business Mailing Address
First Line : 5825 AIRLINE HWY
Second Line :
City : BATON ROUGE
State : LA
Zip : 70805-2408
Country : US
Telephone Number : 225-358-1000
Fax Number : 225-358-1003
Provider Business Practice Location Address
First Line : 5825 AIRLINE HWY
Second Line :
City : BATON ROUGE
State : LA
Zip : 70805-2408
Country : US
Telephone Number : 225-358-1000
Fax Number : 225-358-1003
Authorized Official
Title or Position : VICE CHANCELLOR/CEO
Name : MR. DONALD R SMITHBURG
Credential :
Telephone Number : 225-922-1474
Provider Enumeration Date : 06/12/2006
Last Update Date : 09/11/2025

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