NPIMap

Organization Active NPI

Louisiana State University Health Sciences Center

Doing business as Earl K Long Medical Center

  • General Acute Care Hospital
  • Baton Rouge, LA
National Provider Identifier
1801239926
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
122 Issued in LA
Legal business name
LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER
Doing business as
Earl K Long Medical Center
Practice address
5825 Airline Hwy
Baton Rouge, LA 70805-2408
Phone
(225) 358-1000
Fax
(225) 358-1003
NPI assigned
Apr 8, 2013
Last updated
Apr 8, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDICAL CENTER OF LOUISIANA AT NEW ORLEANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Authorized official

Name
Wade Gillham
Title
Director of Fiscal Operations
Phone
(504) 903-5140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 122 LA Primary

Addresses

Primary practice location

5825 Airline Hwy
Baton Rouge, LA 70805-2408

Mailing address

5425 Airline Highway
Baton Rouge, LA 70805-2408
Phone (225) 358-1000

Other names 1

  • Earl K Long Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bertrand Carol a8 organizations share this tax ID, including this one
Part of
Bertrand Carol a

Other organizations with this tax ID 7

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

Locations

5425 Airline Hwy
Baton Rouge, LA 70805

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1801239926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 AIRLINE HIGHWAY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708052408",
            "telephone_number": "225-358-1000",
            "fax_number": "225-358-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 AIRLINE HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708052408",
            "telephone_number": "225-358-1000",
            "fax_number": "225-358-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL CENTER OF LOUISIANA AT NEW ORLEANS",
        "enumeration_date": "2013-04-08",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "GILLHAM",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "DIRECTOR OF FISCAL OPERATIONS",
        "authorized_official_telephone_number": "504-903-5140"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "LA",
            "license": "122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Earl K Long Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 8, 2013; 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.