Wash-St Tammany Reg Medical Center

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

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) 732-7122

Fax

(985) 732-1257

NPI assigned

May 30, 2006

Last updated

Apr 28, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

WASH-ST TAMMANY REG MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Dr. Michael K Butler, M.D.

Title

Acting Ceo

Phone

(225) 922-0775

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bogalusa Medical Center Doing business as

Part of

Washington St Tammany R

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1801843164",
    "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": "985-732-7122",
            "fax_number": "985-732-1257"
        },
        {
            "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": "985-732-7122",
            "fax_number": "985-732-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASH-ST TAMMANY REG MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WASH-ST TAMMANY REG MEDICAL CENTER",
        "enumeration_date": "2006-05-30",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ACTING CEO",
        "authorized_official_telephone_number": "225-922-0775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PSYCH",
            "identifier": "61048",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1705390",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bogalusa Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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.
• Washington St. Tammany Regional Medical Center
• Washington St. Tammany Regional Medical Center

• Psychiatric Hospital Unit in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• Psychiatric Hospital Unit in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.