Organization
ACH BAYNE-JONES-FT JOHNSON
Active
Parent organization
ACH BAYNE-JONES-FT JOHNSON
Other names
ACH BAYNE-JONES-POLK
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACH BAYNE-JONES-FT JOHNSON
Authorized official
CYNTHIA NELSON (UBO MANAGER)
(337) 653-2315
Entity
Organization
Contact information
Practice address
1585 THIRD STREET, FORT POLK, LA 71459-6000
(337) 531-3118
Mailing address
1585 THIRD STREET, FORT POLK, LA 71459-6000
(337) 531-3482
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61320
BCBS LA PROVIDER #
LA
Enumeration date
11/22/2006
Last updated
05/21/2025
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