NPIMap

Organization Active NPI

Ach Bayne-Jones-Ft Johnson

  • Military General Acute Care Hospital
  • Fort Polk, LA
National Provider Identifier
1104991215
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military General Acute Care HospitalTaxonomy code 2865M2000X
Legal business name
ACH BAYNE-JONES-FT JOHNSON
Practice address
1585 Third Street
Fort Polk, LA 71459-6000
Phone
(337) 531-3118
NPI assigned
Nov 22, 2006
Organization subpart
Yes
Parent organization
ACH BAYNE-JONES-FT JOHNSONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Cynthia Nelson
Title
Ubo Manager
Phone
(337) 653-2315

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X LA
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center 261QM1101X LA
Military General Acute Care Hospital 2865M2000X Primary

Addresses

Primary practice location

1585 Third Street
Fort Polk, LA 71459-6000

Mailing address

1585 Third Street
Fort Polk, LA 71459-6000
Phone (337) 531-3482

Other identifiers 1

IdentifierTypeStateIssuer
61320OtherLABCBS LA PROVIDER #

Other names 1

  • ACH BAYNE-JONES-POLK Other name

Care Compare: Hospital

Medicare Care Compare
Listed as
Bayne-Jones ACH (Ft Johnson)CCN 19050F
Type
Acute Care - Department of Defense
Ownership
Department of Defense
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory
Tax ID family
Ach Bayne-Jones-Ft Johnson9 organizations share this tax ID, including this one
Part of
Ach Bayne-Jones-Ft Johnson

Other organizations with this tax ID 8

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

Locations

1585 3rd St
Leesville, LA 71459
Phone (337) 531-3011

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1104991215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 THIRD STREET",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "714596000",
            "telephone_number": "337-531-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 THIRD STREET",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "714596000",
            "telephone_number": "337-531-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACH BAYNE-JONES-FT JOHNSON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACH BAYNE-JONES-FT JOHNSON",
        "enumeration_date": "2006-11-22",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "UBO MANAGER",
        "authorized_official_telephone_number": "337-653-2315"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1101X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS LA PROVIDER #",
            "identifier": "61320",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACH BAYNE-JONES-POLK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Polk, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.