| |
433 Plaza St Bogalusa LA 70427-3729 | |
(985) 730-6700 | |
Not Available |
Full Name | |
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Speciality | Psychiatric Unit |
Location | 433 Plaza St, Bogalusa, Louisiana |
Authorized Official Name and Position | Chuck Spicer (MARKET PRESIDENT) |
Authorized Official Contact | 9857306700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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433 Plaza St Bogalusa LA 70427-3729 Ph: (985) 730-6700 | 433 Plaza St Bogalusa LA 70427-3729 Ph: (985) 730-6700 |
NPI Number | 1649607268 |
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Provider Enumeration Date | 09/27/2013 |
Last Update Date | 08/29/2024 |
Certification Date | 08/29/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649607268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | (Louisiana) | Primary |
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