Bogalusa City Schools

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

BOGALUSA CITY SCHOOLS

Practice address

1705 Sullivan Dr
Bogalusa, LA 70427-5865

Phone

(985) 281-2100

NPI assigned

May 15, 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

Jerry O Payne

Title

Superintendent

Phone

(985) 281-2100

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Bogalusa City Schools3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Bogalusa City Schools

  • Student Health Clinic/Center
  • Bogalusa, LA
  • NPI 1659584878
  NPD tax ID
• Bogalusa City Schools

  dba Bogalusa High School Based Health Center

  • Student Health Clinic/Center
  • Bogalusa, LA
  • NPI 1730586371
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Haik, M.ED.,CCC-SLP

  • Speech-Language Pathologist
  • Bogalusa, LA
  • NPI 1225790504
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174739569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 SULLIVAN DR",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704275865",
            "telephone_number": "985-281-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 SULLIVAN DR",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704275865",
            "telephone_number": "985-281-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOGALUSA CITY SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "985-281-2100"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1415731",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omika Bickham
• Benjamin Thomas Bienvenue, MD, MPH
• Chris Black, LCSW-BACS
• Byron Blackwell, MPT
• Body Parts LLC
• Bogalusa City Schools
• Bogalusa City Schools (Bogalusa High School Based Health Center)
• Bogalusa Dental Associates, LLC (Louisiana Dental Center)
• Bogalusa Emergency Group LLC
• Bogalusa Family Chiropractic Clinic

• 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.