| Bogalusa Medical Center | |
|
433 Plaza St Bogalusa LA 70427-3729 | |
| (985) 732-7122 | |
| (985) 732-1257 |
| Full Name | Bogalusa Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 433 Plaza St, Bogalusa, Louisiana |
| Authorized Official Name and Position | Michael K Butler (ACTING CEO) |
| Authorized Official Contact | 2259220775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bogalusa Medical Center 433 Plaza St Bogalusa LA 70427-3729 Ph: (985) 732-7122 | Bogalusa Medical Center 433 Plaza St Bogalusa LA 70427-3729 Ph: (985) 732-7122 |
| NPI Number | 1801843164 |
|---|---|
| Provider Enumeration Date | 05/30/2006 |
| Last Update Date | 04/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801843164 | NPI | - | NPPES |
| 61048 | Other | LA | BCBS PSYCH |
| 1705390 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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