Organization Active NPI

Horizon Medical Treatment Centers

  • Addiction Medicine (Family Medicine) Physician
  • Baton Rouge, LA
National Provider Identifier
1700305679
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
304510 Issued in LA
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.