Provider Demographics
NPI:1053360651
Name:EAST BATON ROUGE MEDICAL CENTER LLC
Entity type:Organization
Organization Name:EAST BATON ROUGE MEDICAL CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:J
Authorized Official - Last Name:POSECAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-842-4097
Mailing Address - Street 1:17000 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-3246
Mailing Address - Country:US
Mailing Address - Phone:225-755-4800
Mailing Address - Fax:225-755-4883
Practice Address - Street 1:17000 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-3246
Practice Address - Country:US
Practice Address - Phone:225-755-4800
Practice Address - Fax:225-755-4883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA60908OtherBLUE CROSS ACUTE
LA1700797Medicaid
LA60908OtherBLUE CROSS ACUTE