Provider Demographics
NPI:1548825888
Name:NORTH BATON ROUGE CANCER CENTER, INC
Entity type:Organization
Organization Name:NORTH BATON ROUGE CANCER CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAMERON
Authorized Official - Middle Name:LAMAR
Authorized Official - Last Name:MONROE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-564-1053
Mailing Address - Street 1:PO BOX 73522
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70874-3522
Mailing Address - Country:US
Mailing Address - Phone:318-564-1053
Mailing Address - Fax:
Practice Address - Street 1:4811 HARDING BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE,
Practice Address - State:LA
Practice Address - Zip Code:70811
Practice Address - Country:US
Practice Address - Phone:318-564-1053
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-02
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471R0002XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiation TherapyGroup - Single Specialty