Organization
WASH-ST TAMMANY REG MEDICAL CENTER
Active
Parent organization
WASH-ST TAMMANY REG MEDICAL CENTER
Other names
Bogalusa Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
WASH-ST TAMMANY REG MEDICAL CENTER
Authorized official
DR. MICHAEL K BUTLER M.D. (ACTING CEO)
(225) 922-0775
Entity
Organization
Contact information
Practice address
433 PLAZA ST, BOGALUSA, LA 70427-3729
(985) 732-7122
(985) 732-1257
Mailing address
433 PLAZA ST, BOGALUSA, LA 70427-3729
(985) 732-7122
(985) 732-1257
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1705390
—
LA
01
—
61048
BCBS PSYCH
LA
Enumeration date
05/30/2006
Last updated
04/28/2008
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