| NAME |
New Orleans-BROPC |
| STATE |
LOUISIANA |
| STREET ADDR. 1 |
7968 ESSEN PARK AVENUE |
| CITY |
BATON ROUGE |
| ZIP |
70809-7439 |
| OFFICIAL VA NAME |
VA Baton Rouge Outpatient Clinic |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
BATON ROUGE VA CBOC |
| ST. ADDR. 1 (MAILING) |
7968 ESSEN PARK AVENUE |
| CITY (MAILING) |
BATON ROUGE |
| STATE (MAILING) |
LOUISIANA |
| ZIP (MAILING) |
70809-7439 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1437101235
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
629BY |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1437101235
-
- CODING SYSTEM: VASTANUM
- ID: 629BY
-
- CODING SYSTEM: CLIA
- ID: 19D0987275
|