# ACH BAYNE-JONES-FT JOHNSON

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ACH BAYNE-JONES-FT JOHNSON
- **Other names:** ACH BAYNE-JONES-POLK
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104991215
- **Legal business name:** ACH BAYNE-JONES-FT JOHNSON
- **Authorized official:** CYNTHIA NELSON (UBO MANAGER)
- **Authorized official phone:** (337) 653-2315

## Contact information

- **Practice address:** 1585 THIRD STREET, FORT POLK, LA 71459-6000
- **Practice address phone:** (337) 531-3118
- **Mailing address:** 1585 THIRD STREET, FORT POLK, LA 71459-6000
- **Mailing address phone:** (337) 531-3482

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | LA | — |
| 261QM1101X | Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | — | LA | — |
| 2865M2000X | Military General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 05/21/2025