Baton Rouge Primary Care Collaborative, Inc.

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

Legal business name

BATON ROUGE PRIMARY CARE COLLABORATIVE, INC.

Practice address

7050 Plank Rd
Baton Rouge, LA 70811-6043

Phone

(225) 774-1120

Fax

(225) 930-5114

NPI assigned

Oct 25, 2022

Last updated

Oct 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joyce Fox Boatner

Title

Office Manager

Phone

(225) 774-1120

Specialties & licenses 1

Addresses

Tax ID family

Baton Rouge Primary Care Collaborative Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Baton Rouge Primary Care Collaborative, Inc.

  dba St. Vincent de Paul Homeless Clinic

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1255665832
  NPD tax ID

Locations

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1669199188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 PLANK RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708116043",
            "telephone_number": "225-774-1120",
            "fax_number": "225-930-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 PLANK RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708116043",
            "telephone_number": "225-774-1120",
            "fax_number": "225-930-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATON ROUGE PRIMARY CARE COLLABORATIVE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "BOATNER",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "FOX",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "225-774-1120"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baton Rouge Perio, L.L.C.
• Baton Rouge Physical Medicine
• Baton Rouge Play Therapy, LLC
• Baton Rouge Podiatry, LLC
• Baton Rouge Primary Care Collaborative, Inc. (St. Vincent de Paul Homeless Clinic)
• Baton Rouge Primary Care Collaborative, Inc. (Baton Rouge Primary Care)
• Baton Rouge Radiology Group Inc
• Baton Rouge Radiology Imaging Center, LLC
• Baton Rouge Recovery Health LLC (Baton Rouge Recovery Health- Mid City)
• Baton Rouge Rehabiliation Hospital LLC (Baton Rouge Rehab Hospital)

• Clinic Pharmacy in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Clinic Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.