Organization
BOGALUSA CITY SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY O PAYNE (SUPERINTENDENT)
(985) 281-2100
Entity
Organization
Contact information
Practice address
1705 SULLIVAN DR, BOGALUSA, LA 70427-5865
(985) 281-2100
Mailing address
1705 SULLIVAN DR, BOGALUSA, LA 70427-5865
(985) 281-2100
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1415731
—
LA
Enumeration date
05/15/2007
Last updated
08/22/2020
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