Wash-St Tammany Reg Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

WASH-ST TAMMANY REG MEDICAL CENTER

Doing business as

Bogalusa Medical Center

Practice address

433 Plaza St
Bogalusa, LA 70427-3729

Phone

(985) 730-6706

Fax

(985) 730-6709

NPI assigned

Jun 9, 2006

Last updated

Mar 15, 2011By 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

Kurt M. Scott

Title

Ceo

Phone

(985) 730-6706

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bogalusa Medical Center Doing business as

Locations

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.

• Victor Gaston Theriault, MD

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1396742318
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1235170465",
    "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": "985-730-6706",
            "fax_number": "985-730-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 PLAZA ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273729",
            "telephone_number": "985-730-6706",
            "fax_number": "985-730-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASH-ST TAMMANY REG MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-730-6706"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ACUTE",
            "identifier": "90001",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720437",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bogalusa Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Baudier Walter, PNP-C
• Chad Travis Walters
• Antonio Johnston Waring III, MD
• Stephen Eugene Warren IX, O.D.
• Patti C. Wascom, F.N.P.
• Wash-St Tammany Reg Medical Center (Bogalusa Medical Center)
• 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.

• General Acute Care Hospital in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• General Acute Care Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.