NPIViewer - Provider NPI 1962437681

NPI:	1962437681
Name:	HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH
Entity type:	Organization
Organization Name:	HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH
Other - Org Name:	<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:	CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:	LARRY
Authorized Official - Middle Name:	R
Authorized Official - Last Name:	MEESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:	225-658-4303
Mailing Address - Street 1:	6300 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:	ZACHARY
Mailing Address - State:	LA
Mailing Address - Zip Code:	70791-4037
Mailing Address - Country:	US
Mailing Address - Phone:	225-658-4505
Mailing Address - Fax:	225-658-4287
Practice Address - Street 1:	6300 MAIN ST
Practice Address - Street 2:
Practice Address - City:	ZACHARY
Practice Address - State:	LA
Practice Address - Zip Code:	70791-4037
Practice Address - Country:	US
Practice Address - Phone:	225-658-4316
Practice Address - Fax:	225-658-4297
EIN:	<UNAVAIL>
Is Organization Subpart?:	No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:	2006-07-11
Last Update Date:	2020-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:

Primary?	Code	Type	Classification	Specialization
Yes	282N00000X	Hospitals	General Acute Care Hospital

State	Identifier ID	ID Type	Issuer
LA	5Y0007302	Medicare PIN
LA	4F8327302	Medicare PIN
LA	509647302	Medicare PIN
LA	540587302	Medicare PIN
LA	599957302	Medicare PIN
LA	5A0027302	Medicare PIN
LA	5H6987302	Medicare PIN
LA	5R9727302	Medicare PIN
LA	4A5707302	Medicare PIN
LA	4A7347302	Medicare PIN
LA	4B8407302	Medicare PIN
LA	504927302	Medicare PIN
LA	530267302	Medicare PIN
LA	5K2377302	Medicare PIN
LA	5S0377302	Medicare PIN
LA	3B2797302	Medicare PIN
LA	4F3087302	Medicare PIN
LA	595217302	Medicare PIN
LA	5K4097302	Medicare PIN
LA	4H8187302	Medicare PIN
LA	5L7487302	Medicare PIN
LA	5N5317302	Medicare PIN
LA	5T1797302	Medicare PIN
LA	57302	Medicare ID - Type Unspecified	MEDICARE PART B
LA	522707302	Medicare PIN
LA	562267302	Medicare PIN
LA	5E6527302	Medicare PIN
LA	5W3907302	Medicare PIN
LA	4B8397302	Medicare PIN
LA	4K2297302	Medicare PIN
LA	4N1047302	Medicare PIN
LA	4P3587302	Medicare PIN
LA	5W2067302	Medicare PIN
LA	3A5947302	Medicare PIN
LA	553247302	Medicare PIN
LA	57302	Medicare PIN
LA	5A3327302	Medicare PIN
LA	5H5977302	Medicare PIN
LA	5U3937302	Medicare PIN
LA	4P3407302	Medicare PIN
LA	536947302	Medicare PIN
LA	596677302	Medicare PIN