Washington St. Tammany Regional Medical Center

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

WASHINGTON ST. TAMMANY REGIONAL MEDICAL CENTER

Practice address

1403 North Ave
Bogalusa, LA 70427-4428

Phone

(985) 732-7122

NPI assigned

Mar 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Donald R Smithburg

Title

Vice Chancellor Ceo

Phone

(225) 922-1474

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bogalusa Medical Center Other name

Tax ID family

Wash-St Tammany Reg Medical6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Washington St. Tammany Regional Medical Center

  • Student Health Clinic/Center
  • Bogalusa, LA
  • NPI 1033247838
  NPD tax ID
• Washington St. Tammany Regional Medical Center

  • Rural Acute Care Hospital
  • Bogalusa, LA
  • NPI 1568792471
  NPD tax ID
• Washington St. Tammany Regional Medical Center

  • Rural Acute Care Hospital
  • Bogalusa, LA
  • NPI 1659601565
  NPD tax ID
• Washington St. Tammany Regional Medical Center

  • Primary Care Clinic/Center
  • Bogalusa, LA
  • NPI 1730218918
  NPD tax ID
• Washington St. Tammany Regional Medical Center

  • Pharmacy
  • Bogalusa, LA
  • NPI 1801801436
  NPD tax ID

Locations

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073641866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 PLAZA ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273729",
            "telephone_number": "985-732-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 NORTH AVE",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704274428",
            "telephone_number": "985-732-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON ST. TAMMANY REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITHBURG",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE CHANCELLOR CEO",
        "authorized_official_telephone_number": "225-922-1474",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447706",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bogalusa Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wash-St Tammany Reg Medical Center (Bogalusa Medical Center)
• Washington Parish Emergency Physicians Group LLC
• Washington Parish Home Medical Equipment, LLC
• Washington Physical Therapy, LLC.
• Washington St. Tammany Regional Medical Center
• Washington St. Tammany Regional Medical Center
• Washington St. Tammany Regional Medical Center
• Washington St. Tammany Regional Medical Center
• Washington St. Tammany Regional Medical Center
• Washington Wound Care LLC

• Student Health Clinic/Center in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• Student Health Clinic/Center in Louisiana

• 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.