# WASHINGTON ST. TAMMANY REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bogalusa Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073641866
- **Authorized official:** MR. DONALD R SMITHBURG (VICE CHANCELLOR CEO)
- **Authorized official phone:** (225) 922-1474

## Contact information

- **Practice address:** 1403 NORTH AVE, BOGALUSA, LA 70427-4428
- **Practice address phone:** (985) 732-7122
- **Mailing address:** 433 PLAZA ST, BOGALUSA, LA 70427-3729
- **Mailing address phone:** (985) 732-7122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1447706 | — | LA |