Provider Demographics
NPI:1710380068
Name:EAST BATON ROUGE MEDICAL CENTER LLC
Entity Type:Organization
Organization Name:EAST BATON ROUGE MEDICAL CENTER LLC
Other - Org Name:OCHSNER MEDICAL COMPLEX - IBERVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EVP/CFO
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:POSECAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-842-3400
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 1:25455 HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:PLAQUEMINE
Practice Address - State:LA
Practice Address - Zip Code:70764-7513
Practice Address - Country:US
Practice Address - Phone:225-754-6880
Practice Address - Fax:225-754-6873
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EAST BATON ROUGE MEDICAL CENTER LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-10-01
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes282N00000XHospitalsGeneral Acute Care Hospital
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1700797Medicaid
LA1798118Medicaid
LA1798118Medicaid
LA56629Medicare PIN