Organization
BAYNE-JONES ARMY COMMUNITY HOSPITAL
Active
Parent organization
BAYNE-JONES ARMY COMMUNITY HOSPITAL
Other names
10TH MTN BCT CLINIC-POLK
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAYNE-JONES ARMY COMMUNITY HOSPITAL
Authorized official
CAROLYN JONES (UBO)
(337) 653-3220
Entity
Organization
Contact information
Practice address
2040 DRAGOON LOOP, BLDG 1170, FORT POLK, LA 71459-5242
(337) 531-3118
Mailing address
1585 3RD ST, BLDG 285, FORT POLK, LA 71459-5102
(337) 531-3482
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104991215
PARENT BJACH NPI 2
—
Enumeration date
06/17/2014
Last updated
04/08/2015
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