NPIMap

Organization Active NPI

Department of Health and Hospitals

Doing business as Washington Parish ADAC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bogalusa, LA
National Provider Identifier
1023066230
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
3514 Issued in LA
Legal business name
DEPARTMENT OF HEALTH AND HOSPITALS
Doing business as
Washington Parish ADAC
Practice address
Washington Parish Adac
2106 Avenue F
Bogalusa, LA 70427-5027
Phone
(985) 732-6655
Fax
(985) 732-6678
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Judith Mickenheim, RN
Title
Clinical Coordinator
Phone
(985) 732-6655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 3514 LA Primary

Addresses

Primary practice location

Washington Parish Adac
2106 Avenue F
Bogalusa, LA 70427-5027

Mailing address

Washington Parish Adac
2106 Avenue F
Bogalusa, LA 70427-5027
Phone (985) 732-6655

Other names 1

  • Washington Parish ADAC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023066230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WASHINGTON PARISH ADAC",
            "address_2": "2106 AVENUE F",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704275027",
            "telephone_number": "985-732-6655",
            "fax_number": "985-732-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WASHINGTON PARISH ADAC",
            "address_2": "2106 AVENUE F",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704275027",
            "telephone_number": "985-732-6655",
            "fax_number": "985-732-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH AND HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MICKENHEIM",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "CLINICAL COORDINATOR",
        "authorized_official_telephone_number": "985-732-6655",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "LA",
            "license": "3514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Parish ADAC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bogalusa, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.