BATON ROUGE SOUTH VA CLINIC (3823)    INSTITUTION (4)

Name Value
NAME BATON ROUGE SOUTH VA CLINIC
STATE LOUISIANA
STREET ADDR. 1 7850 ANSELMO LANE
CITY BATON ROUGE
ZIP 70810-1101
OFFICIAL VA NAME BATON ROUGE SOUTH VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME BATON ROUGE SOUTH VA OOS
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1134517493
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
STATION NUMBER 629QA