Active NPI
Horizon Medical Treatment Centers
- Addiction Medicine (Family Medicine) Physician
- Baton Rouge, LA
National Provider Identifier
1700305679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- 304510
- Legal business name
- HORIZON MEDICAL TREATMENT CENTERS
- Practice address
- 4313 Bluebonnet Blvd Ste B
Baton Rouge, LA 70809-9679 - Phone
- (225) 636-2910
- Fax
- (225) 636-5227
- NPI assigned
- Sep 12, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Covington Guilbault
- Title
- Owner/ Admin Director
- Phone
- (225) 636-2910
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 304510 | LA | Primary |
Addresses
Primary practice location
4313 Bluebonnet Blvd Ste B
Baton Rouge, LA 70809-9679
Mailing address
4313 Bluebonnet Blvd Ste B
Baton Rouge, LA 70809-9679
Phone (225) 636-2910
National Provider Directory
National Provider DirectoryLocations
4313 Bluebonnet Blvd
Ste B
Baton Rouge, LA 70809
Phone (225) 636-2910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1700305679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4313 BLUEBONNET BLVD STE B",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708099679",
"telephone_number": "225-636-2910",
"fax_number": "225-636-5227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4313 BLUEBONNET BLVD STE B",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708099679",
"telephone_number": "225-636-2910",
"fax_number": "225-636-5227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HORIZON MEDICAL TREATMENT CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-12",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "GUILBAULT",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "COVINGTON",
"authorized_official_title_or_position": "OWNER/ ADMIN DIRECTOR",
"authorized_official_telephone_number": "225-636-2910"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": "LA",
"license": "304510",
"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 Jul 21, 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.