NPIMap

Organization Active NPI

Lsahsc Earl K. Long Medical Center

  • Community Health Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1649327107
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
DPM.PD0105 Issued in LA
Legal business name
LSAHSC EARL K. LONG MEDICAL CENTER
Practice address
1401 N Foster Dr
Baton Rouge, LA 70806-1818
Phone
(225) 987-9013
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Camille Elsbury, CPCS
Title
Ekl Medical Staff Dept. Manager
Phone
(225) 354-2051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X DPM.PD0105 LA Primary

Addresses

Primary practice location

1401 N Foster Dr
Baton Rouge, LA 70806-1818

Mailing address

17010 Abita Avenue
Prairieville, LA 70769
Phone (225) 266-5177

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649327107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17010 ABITA AVENUE",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "70769",
            "telephone_number": "225-266-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N FOSTER DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708061818",
            "telephone_number": "225-987-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSAHSC EARL K. LONG MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELSBURY",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "EKL MEDICAL STAFF DEPT. MANAGER",
        "authorized_official_telephone_number": "225-354-2051",
        "authorized_official_credential": "CPCS"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "LA",
            "license": "DPM.PD0105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.