| St. Luke's Healthcare | |
|
3955 Government St Ste 2 Baton Rouge LA 70806-5755 | |
| (225) 924-1910 | |
| Not Available |
| Full Name | St. Luke's Healthcare |
|---|---|
| Speciality | Internal Medicine |
| Location | 3955 Government St Ste 2, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Shannon Boling (OPERATIONS OFFICER) |
| Authorized Official Contact | 1248397826 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke's Healthcare 10473 Old Hammond Hwy Baton Rouge LA 70816-8264 Ph: (225) 900-8924 | St. Luke's Healthcare 3955 Government St Ste 2 Baton Rouge LA 70806-5755 Ph: (225) 924-1910 |
| NPI Number | 1922504364 |
|---|---|
| Provider Enumeration Date | 04/04/2018 |
| Last Update Date | 04/21/2018 |
| Medicare PECOS PAC ID | 0042565129 |
|---|---|
| Medicare Enrollment ID | O20180613001030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922504364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 303032 (Louisiana) | Primary |
| Provider Name | Scott C Chapman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1447226741 PECOS PAC ID: 7214905116 Enrollment ID: I20040920000188 |
| Provider Name | Eric A Payne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356306864 PECOS PAC ID: 8325003080 Enrollment ID: I20041123000060 |
| Provider Name | Lloyd P Leonards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952644056 PECOS PAC ID: 4284928862 Enrollment ID: I20160804000543 |
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