Provider Demographics
NPI:1962537407
Name:BATON ROUGE GENERAL MEDICAL CENTER
Entity type:Organization
Organization Name:BATON ROUGE GENERAL MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR VP AND CFO
Authorized Official - Prefix:
Authorized Official - First Name:DIONNE
Authorized Official - Middle Name:E
Authorized Official - Last Name:VIATOR
Authorized Official - Suffix:
Authorized Official - Credentials:CPA, FACHE
Authorized Official - Phone:225-763-1540
Mailing Address - Street 1:8585 PICARDY AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-3748
Mailing Address - Country:US
Mailing Address - Phone:225-387-7000
Mailing Address - Fax:
Practice Address - Street 1:8585 PICARDY AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-3748
Practice Address - Country:US
Practice Address - Phone:225-387-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA284282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR124611105Medicaid
GA000713688Medicaid
OH2594830Medicaid
MI40-4683087Medicaid
CAXHSP41803Medicaid
KY01300698Medicaid
ALBRG 0065NMedicaid
LA1720020Medicaid
NC1900065Medicaid
FL904221100Medicaid
MI30-4683078Medicaid
AZ371609Medicaid
LA90065OtherBLUE CROSS
LHVI10OtherUNITED HEALTHCARE
ALBRG 0065NMedicaid