Baton Rouge Multi-specialty Care Center, Llc | |
3850 Convention St Baton Rouge LA 70806-3803 | |
(225) 289-6803 | |
(225) 289-6483 |
Full Name | Baton Rouge Multi-specialty Care Center, Llc |
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Speciality | Internal Medicine |
Location | 3850 Convention St, Baton Rouge, Louisiana |
Authorized Official Name and Position | Gertrude Chimeka-anyanwoke (PRESIDENT) |
Authorized Official Contact | 2252028850 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Baton Rouge Multi-specialty Care Center, Llc Po Box 583 Baton Rouge LA 70821-0583 Ph: (225) 289-6803 | Baton Rouge Multi-specialty Care Center, Llc 3850 Convention St Baton Rouge LA 70806-3803 Ph: (225) 289-6803 |
NPI Number | 1619114378 |
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Provider Enumeration Date | 01/15/2009 |
Last Update Date | 04/01/2016 |
Medicare PECOS PAC ID | 9032275664 |
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Medicare Enrollment ID | O20090306000264 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619114378 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Gertrude Chimeka Anyanwoke |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760465421 PECOS PAC ID: 2466464102 Enrollment ID: I20081209000694 |
Provider Name | Kendra N Patrick |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225388929 PECOS PAC ID: 6901041789 Enrollment ID: I20130516000354 |
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