Earl K Long Medical Center

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

EARL K LONG MEDICAL CENTER

Practice address

5825 Airline Hwy
Baton Rouge, LA 70805-2408

Phone

(225) 358-1000

Fax

(225) 358-1003

NPI assigned

Jun 9, 2006

Organization subpart

Yes

Parent organization

EARL K LONG MEDICAL CENTERAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael K Butler, M.D.

Title

Acting Ceo

Phone

(225) 922-0775

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Louisiana State University Health Sciences Center

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1295776276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 AIRLINE HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708052408",
            "telephone_number": "225-358-1000",
            "fax_number": "225-358-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 AIRLINE HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708052408",
            "telephone_number": "225-358-1000",
            "fax_number": "225-358-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARL K LONG MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EARL K LONG MEDICAL CENTER",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ACTING CEO",
        "authorized_official_telephone_number": "225-922-0775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1705071",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PSYCH",
            "identifier": "61029",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jared Eades, DDS
• M Wren Eversberg Eagleton, OTR/L
• Maluan Ealy
• Miracle Danielle Ealy
• Robert N. Earhart, MD
• Earl K Long Medical Center
• Earl K. Long Medical Center
• Earl K. Long Medical Center
• Earl K. Long Medical Center
• Earl K. Long Medicial Center

• Psychiatric Hospital Unit in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Psychiatric Hospital Unit in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.