Organization Active NPI

Greater Baton Rouge Surgical Hospital, LLC

  • General Acute Care Hospital
  • Baton Rouge, LA
National Provider Identifier
1487645859
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
574 Issued in LA
Legal business name
GREATER BATON ROUGE SURGICAL HOSPITAL, LLC
Practice address
7855 Howell Boulevard
Baton Rouge, LA 70807
Phone
(225) 358-4900
Fax
(225) 358-4901
NPI assigned
Nov 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2009

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

Authorized official

Name
Mr. Robert D. Blair
Title
Chief Executive Officer
Phone
(225) 358-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 574 LA Primary

Addresses

Primary practice location

7855 Howell Boulevard
Baton Rouge, LA 70807

Mailing address

7855 Howell Boulevard
Baton Rouge, LA 70807
Phone (225) 358-4900

Other identifiers 1

IdentifierTypeStateIssuer
1704245MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Hospital certification: CCN 190273

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
GREATER BATON ROUGE SURGICAL HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Dec 5, 2012
Provider type (POS)
Hospital – Short-term
Participating since
Oct 26, 2005
Last certification
Oct 7, 2010
Beds
10
Ownership / control type
Private (for profit)
Facility address
7855 Howell Place Blvd
Baton Rouge, LA 70807

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1487645859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 HOWELL BOULEVARD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70807",
            "telephone_number": "225-358-4900",
            "fax_number": "225-358-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 HOWELL BOULEVARD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70807",
            "telephone_number": "225-358-4900",
            "fax_number": "225-358-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BATON ROUGE SURGICAL HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "225-358-4900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "LA",
            "license": "574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1704245",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.