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
P.O. BOX 430, BOGALUSA, LA 70429-0430
(985) 730-7181
(985) 730-7183
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1940011
—
LA
Enumeration date
06/13/2006
Last updated
03/15/2011
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