| Baton Rouge General Physicians Hospital Specialists, Inc | |
|
3600 Florida Blvd Baton Rouge LA 70809 | |
| (225) 387-7724 | |
| Not Available |
| Full Name | Baton Rouge General Physicians Hospital Specialists, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3600 Florida Blvd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Kendall Johnson (C.F.O.) |
| Authorized Official Contact | 2252371645 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baton Rouge General Physicians Hospital Specialists, Inc Po Box 4869 Dept: 235 Houston TX 77210-4869 Ph: () - | Baton Rouge General Physicians Hospital Specialists, Inc 3600 Florida Blvd Baton Rouge LA 70809 Ph: (225) 387-7724 |
| NPI Number | 1194838052 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 12/08/2015 |
| Medicare PECOS PAC ID | 3678588407 |
|---|---|
| Medicare Enrollment ID | O20060215000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194838052 | NPI | - | NPPES |
| 1448788 | Medicaid | LA | |
| DE6445 | Other | LA | RAILROAD MEDICARE |
| Provider Name | Robreka H King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851719652 PECOS PAC ID: 7719102763 Enrollment ID: I20140707000813 |
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