| Hcs-sbhc-sms-scotlandville Middle | |
|
9147 Elmgrove Garden Dr Baton Rouge LA 70807-4308 | |
| (225) 774-8953 | |
| (225) 778-2704 |
| Full Name | Hcs-sbhc-sms-scotlandville Middle |
|---|---|
| Speciality | Clinic/center |
| Location | 9147 Elmgrove Garden Dr, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Julia J Lively (CFO) |
| Authorized Official Contact | 2253439505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hcs-sbhc-sms-scotlandville Middle Po Box 64749 Baton Rouge LA 70896-4749 Ph: (225) 343-9505 | Hcs-sbhc-sms-scotlandville Middle 9147 Elmgrove Garden Dr Baton Rouge LA 70807-4308 Ph: (225) 774-8953 |
| NPI Number | 1326441643 |
|---|---|
| Provider Enumeration Date | 10/01/2014 |
| Last Update Date | 10/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326441643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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