BATON ROUGE PRIMARY CARE COLLABORA (NPI# 1255665832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255665832 |
| Entity Type | Organization |
| Organization Name | BATON ROUGE PRIMARY CARE COLLABORA |
| Other Organization Name | ST. VINCENT DE PAUL HOMELESS CLINIC |
| Practice Address |
153 N. 17th Street Baton Rouge LA 70802-3813 |
| Mailing Address |
2013 Central Road Suite B Baton Rouge LA 70807-3918 |
| Practice Telephone | 2253439086 |
| Practice Fax Number | 2253439509 |
| Mailing Telephone | 2257741120 |
| Mailing Fax Number | 2257741158 |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2012-04-03 |
| Authorized Official Name | MS. LYNNE MEDLEY-LONG (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2253561864 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| St. Vincent de Paul Homeless Clinic | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BATON ROUGE PRIMARY CARE COLLABORATIVE, INC. | 220 Saint Vincent De Paul Dr, Baton Rouge, LA 70802-3808 |
| Street Address |
153 N. 17TH STREET |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70802-3813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881113801 | Mason D Ceasar | Counselor | 1520 Thomas H Delpit Dr Ste 219, Baton Rouge, LA 70802 | 2017-09-11 |
| 1508389800 | Arlette Henderson | Counselor | 4776 Adams Street, Baton Rouge, LA 70802 | 2017-07-19 |
| 1306375738 | Raven Turner | Social Worker | 1120 Spanish Town Rd, 108, Baton Rouge, LA 70802 | 2017-06-08 |
| 1528597176 | Maya Harvey | Case Manager/Care Coordinator | 1520 Thomas H Delpit, Baton Rouge, LA 70802 | 2017-06-07 |
| 1124554324 | Heart & Key Transportation, LLC | Non-emergency Medical Transport (VAN) | 1716 North 18th Street, Baton Rouge, LA 70802 | 2017-05-08 |
| 1730628769 | Abriel Hunter | Counselor | 3173 Washington Ave., Baton Rouge, LA 70802 | 2017-02-23 |
| 1528506284 | Brennan Manning | Counselor | 1520 Thomas Delpit St., Baton Rouge, LA 70802 | 2017-02-02 |
| 1124570163 | Ty Hightower | Counselor | 1520 Thomas Delpit, Baton Rouge, LA 70802 | 2016-10-25 |
| 1386190924 | Callesha Lashawn Young | Counselor | 1539 North 23rd Street, Baton Rouge, LA 70802 | 2016-09-01 |
| 1598118705 | Shenquie Jackson | Counselor | 1520 Thomas H Delpit Dr Ste 125, Baton Rouge, LA 70802 | 2016-07-22 |
| Find all providers in zip 70802 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093371494 | St. Gabriel Health Clinic, Inc | Clinic/Center | 3605 Ontario St, Baton Rouge, LA 70805-5840 | 2019-05-13 |
| 1447816954 | St. Gabriel Health Clinic, Inc | Clinic/Center | 4705 Lanier Dr, Baton Rouge, LA 70812-4020 | 2019-05-10 |
| 1013405646 | St Gabriel Health Clinic, Inc | Clinic/Center | 7800 Innovation Dr, Baton Rouge, LA 70820 | 2018-04-30 |
| 1710475496 | St Gabriel Health Clinic, Inc | Clinic/Center | 1500 N Airway Dr, Baton Rouge, LA 70815-8060 | 2018-04-27 |
| 1164949251 | St Gabriel Health Clinic, Inc | Clinic/Center | 6180 Winbourne Ave, Baton Rouge, LA 70805-6266 | 2017-08-29 |
| 1710354022 | St Gabriel Health Clinic, Inc | Clinic/Center | 9211 Parkway Dr, Baton Rouge, LA 70810 | 2015-08-24 |
| 1760858302 | St Gabriel Health Clinic, Inc | Clinic/Center | 1900 Lobdell Blvd, Baton Rouge, LA 70806-1725 | 2015-08-18 |
| 1962777136 | St. Gabriel Health Clinic, Inc. | Clinic/Center | 1707 Gardere Ln Ste E, Baton Rouge, LA 70820-8144 | 2012-03-20 |
| 1457974693 | Hiv-aids Alliance for Region Two | Clinic/Center | 3905 Convention St, Baton Rouge, LA 70806-3806 | 2020-05-22 |
| 1770119588 | Hiv/aids Alliance for Region Two, Inc | Clinic/Center | 3849 North Blvd, Baton Rouge, LA 70806-3854 | 2020-03-13 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70802 |
Please comment or provide details below to improve the information on BATON ROUGE PRIMARY CARE COLLABORA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.