MARY BIRD PERKINS CANCER CENTER NPI 1225274483

NPI Information

MARY BIRD PERKINS CANCER CENTER is a therapeutic radiology radiology in Baton Rouge, LA. MARY BIRD PERKINS CANCER CENTER NPI is 1225274483. The provider is registered as an organization entity type.
The provider Other Name Is Mary Bird Perkins Cancer Center Medicaid Group.

The provider's business location address is:

4950 ESSEN LN
BATON ROUGE, LA
ZIP 70809-738
Phone: (225) 767-0847
Fax: (225) 766-0218

The provider's authorized official is Paul R. Nowacki .
The authorized official title is Cfo and has the following contact phone number (225) 215-1223.

The CLIA number assigned to this NPI record is 19D0886998 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/18/2008 and was last updated on 11/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.