Organization
WASHINGTON ST. TAMMANY REGIONAL MEDICAL CENTER
Active
Other names
Bogalusa Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD R SMITHBURG (VICE CHANCELLOR CEO)
(225) 922-1474
Entity
Organization
Contact information
Practice address
433 PLAZA ST, BOGALUSA, LA 70427-3729
(985) 732-7122
Mailing address
433 PLAZA ST, BOGALUSA, LA 70427-3729
(985) 732-7122
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1416762
—
LA
Enumeration date
03/05/2007
Last updated
08/22/2020
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