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Contact Information

ST. ELIZABETH-MARY BIRD PERKINS CANCER CENTER, L.L.C.
1104 W HIGHWAY 30
GONZALES, LA70737-5003
 Phone: 225-215-1223
 Fax: 225-766-0218
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Nuclear Radiology

2085N0904X
 

Radiation Oncology

2085R0203X
Indicates primary specialty

NPI Profile & details for ST ELIZABETH MARY BIRD PERKINS CANCER CENTER LLC · (Female)

NPI Number 1619155124
Status Active
Credentials
Entity Individual
Enumeration date 02/06/2008
Last updated 12/18/2025 - About 6 months ago
Sole proprietor 1 Not specified
Identifiers
  • LA Medicaid 1369306
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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