St. Luke's Healthcare | |
3955 Government St Ste 2 Baton Rouge LA 70806-5755 | |
(225) 924-1910 | |
Not Available |
Full Name | St. Luke's Healthcare |
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Speciality | Internal Medicine |
Location | 3955 Government St Ste 2, Baton Rouge, Louisiana |
Authorized Official Name and Position | Shannon Boling (OPERATIONS OFFICER) |
Authorized Official Contact | 1248397826 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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St. Luke's Healthcare 10473 Old Hammond Hwy Baton Rouge LA 70816-8264 Ph: (225) 900-8924 | St. Luke's Healthcare 3955 Government St Ste 2 Baton Rouge LA 70806-5755 Ph: (225) 924-1910 |
NPI Number | 1922504364 |
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Provider Enumeration Date | 04/04/2018 |
Last Update Date | 04/21/2018 |
Medicare PECOS PAC ID | 0042565129 |
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Medicare Enrollment ID | O20180613001030 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922504364 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 303032 (Louisiana) | Primary |
Provider Name | Scott C Chapman |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1447226741 PECOS PAC ID: 7214905116 Enrollment ID: I20040920000188 |
Provider Name | Eric A Payne |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1356306864 PECOS PAC ID: 8325003080 Enrollment ID: I20041123000060 |
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