Wash-St Tammany Reg Medical Center
Organization Active NPI General Acute Care Hospital · Bogalusa, LA
NPI 1508809088 · NPPES record last updated Mar 15, 2011
Key facts
- NPI
- 1508809088
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- WASH-ST TAMMANY REG MEDICAL CENTER
- Practice address
- 433 Plaza St
Bogalusa, LA 70427-3729 - Phone
- (985) 730-6706
- Fax
- (985) 730-6709
- NPI assigned
- Jun 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Kurt M. Scott
- Title
- Ceo
- Phone
- (985) 730-6706
Practitioners 130
-
Gary Michael Agena, M.D.
-
Jayagopal Appurao, M.D.
-
Leslie S Arceneaux, MSN, C-FNP, CDE
-
Henry Y Au, CRNA
-
Larry C Bates, CRNA
-
Kenberly Kay Baughman, MSN, APRN, FNP-C
-
Brandon K Bean, MD
-
Christopher Joseph Beck, M.D.
-
Maria Delpilar Bernal, M.D.
-
Marc Bernstein, M.D.
-
Cory James Boudreaux, O.D.
-
Lisa Brooks, CRNA
-
Lavias M. Burns, MD
-
Kimberly Dawn Cagle, FNP
-
Michael W Carpenter, M.D.
-
Diana K. Clavin, M.D.
-
Christine W Connolly, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X | |||
| Certified Registered Nurse Anesthetist |
367500000X |
Addresses
Primary practice location
433 Plaza St
Bogalusa, LA 70427-3729
Mailing address
P.O. Box 430
Bogalusa, LA 70429-0430
Phone (985) 730-7181
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1940011 | Medicaid | LA |
Other names
- Bogalusa Medical Center
Other providers in Bogalusa, LA
- Chad Travis Walters
- Antonio Johnston Waring III
- Stephen Eugene Warren IX
- Patti C. Wascom
- Wash-St Tammany Reg Medical Center
- Wash-St Tammany Reg Medical Center
- Washington Parish Emergency Physicians Group LLC
- Washington Parish Home Medical Equipment, LLC
- Washington Physical Therapy, LLC.
- Washington St. Tammany Regional Medical Center
All providers in Bogalusa, LA · General Acute Care Hospital in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.