St. Jude Affiliate/Baton Rouge

LBN: St. Jude Children'S Research Hospital
St. Jude Affiliate/Baton Rouge is an health care organization with primary practice located at 7777 Hennessy Blvd Ste. 312, Baton Rouge LA 70808-4300. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as the primary health care specialty. St. Jude Children'S Research Hospital can be contacted via phone (225) 763-6337, or through Canarios, Michael C via phone (901) 495-3006.

Contact Information

Primary practice address
7777 Hennessy Blvd Ste. 312 Baton Rouge LA 70808-4300
Fax: (225) 761-4072
Website:
Authorized official contact:
Name: Canarios, Michael C

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X Louisiana

Profile Details

NPI number 1063428688
LBN Legal business name St. Jude Children'S Research Hospital
DBA Doing business as St. Jude Affiliate/Baton Rouge
Authorized official Canarios, Michael C
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063428688 NPPES
Louisiana MEDICAID 1446131
Louisiana MEDICAID 01554572
Louisiana Other 2678828

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