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Contact Information

HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH
6550 MAIN ST STE 3500
ZACHARY, LA70791-4092
 Phone: 225-654-3607
 Fax: 225-658-2262
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH

NPI # 1952878506
LBN Legal business name HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH
Authorized official VICKI CLARDY - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/31/2018
Last updated 01/27/2020 - About 6 years ago
Identifiers
LA Medicaid 1445126
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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