| Mary Bird Perkins Cancer Center | |
|
4950 Essen Ln Baton Rouge LA 70809-3738 | |
| (225) 767-0847 | |
| (225) 767-1335 |
| Full Name | Mary Bird Perkins Cancer Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4950 Essen Ln, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Jacob Kraft (DECISION SUPPORT MANAGER) |
| Authorized Official Contact | 2252151281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Bird Perkins Cancer Center 5215 Essen Ln Ste 200 Baton Rouge LA 70809-3543 Ph: (225) 215-1281 | Mary Bird Perkins Cancer Center 4950 Essen Ln Baton Rouge LA 70809-3738 Ph: (225) 767-0847 |
| NPI Number | 1861216772 |
|---|---|
| Provider Enumeration Date | 11/08/2024 |
| Last Update Date | 07/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861216772 | NPI | - | NPPES |
| 2683900 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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