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Contact Information

EARL K LONG MEDICAL CENTER
5825 AIRLINE HWY
BATON ROUGE, LA70805-2408
 Phone: 225-358-4826
 Fax: 225-358-4827
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for EARL K LONG MEDICAL CENTER

NPI # 1548271653
LBN Legal business name EARL K LONG MEDICAL CENTER
Authorized official NIKKI LEE - (PHARMACY DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/11/2006
Last updated 02/13/2013 - About 13 years ago
Identifiers
LA License # PHY.004380-IRX
LA Medicaid 1203831
Other 1914820 NCPDP PROVIDER IDENTIFICATION NUMBER
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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