NPIMap

Organization Active NPI

LTAC Hospital of Washington- St. Tammany LLC

Doing business as Slidell-AMG Specialty Hospital Bogalusa Campus

  • Long Term Care Hospital
  • Bogalusa, LA
National Provider Identifier
1588899009
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
584 Issued in LA
Legal business name
LTAC HOSPITAL OF WASHINGTON- ST. TAMMANY LLC
Doing business as
Slidell-AMG Specialty Hospital Bogalusa Campus
Practice address
621 Columbia St
Bogalusa, LA 70427-4721
Phone
(985) 732-4402
Fax
(985) 732-4708
NPI assigned
May 28, 2009
Last updated
Feb 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Dawn D. Hargrave
Title
Director of Billing
Phone
(337) 269-9828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 584 LA Primary

Addresses

Primary practice location

621 Columbia St
Bogalusa, LA 70427-4721

Mailing address

101 La Rue France
Suite 500
Lafayette, LA 70508-3144
Phone (337) 269-9828

Other names 1

  • Slidell-AMG Specialty Hospital Bogalusa Campus Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1588899009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LA RUE FRANCE",
            "address_2": "SUITE 500",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083144",
            "telephone_number": "337-269-9828",
            "fax_number": "337-234-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 COLUMBIA ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704274721",
            "telephone_number": "985-732-4402",
            "fax_number": "985-732-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTAC HOSPITAL OF WASHINGTON- ST. TAMMANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "HARGRAVE",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "337-269-9828"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "LA",
            "license": "584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Slidell-AMG Specialty Hospital Bogalusa Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bogalusa, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.