Organization
WASH-ST TAMMANY REG MEDICAL CENTER
Active
Other names
Bogalusa Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
KURT M. SCOTT (CEO)
(985) 730-6706
Entity
Organization
Contact information
Practice address
433 PLAZA ST, BOGALUSA, LA 70427-3729
(985) 730-6706
(985) 730-6709
Mailing address
433 PLAZA ST, BOGALUSA, LA 70427-3729
(985) 730-6706
(985) 730-6709
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720437
—
LA
01
—
90001
BCBS ACUTE
LA
Enumeration date
06/09/2006
Last updated
03/15/2011
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