| Bogalusa Family Practice | |
|
433 Plaza St Bogalusa LA 70427-3729 | |
| (985) 735-1198 | |
| Not Available |
| Full Name | Bogalusa Family Practice |
|---|---|
| Speciality | General Practice |
| Location | 433 Plaza St, Bogalusa, Louisiana |
| Authorized Official Name and Position | Melvin Lester (BILLING CLERK) |
| Authorized Official Contact | 9857321899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bogalusa Family Practice Po Box 700 Bogalusa LA 70429-0700 Ph: () - | Bogalusa Family Practice 433 Plaza St Bogalusa LA 70427-3729 Ph: (985) 735-1198 |
| NPI Number | 1104084839 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 05/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104084839 | NPI | - | NPPES |
| 1365858 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD107924 (Louisiana) | Primary |
Bogalusa Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 M J Israel Dr, Bogalusa, LA 70427 Phone: 985-732-7122 | |
Clinics Of The Southeast Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 219 S Border Dr, Bogalusa, LA 70427 Phone: 985-732-1568 | |
Bogalusa Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1403 North Ave, Bogalusa, LA 70427 Phone: 985-732-7122 | |
Purnachandra R Yerneni Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 Avenue F, Bogalusa, LA 70427 Phone: 985-732-9930 Fax: 985-732-9884 | |
Rogelio A. Casama, Md, Apmc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2807 S Columbia St, Bogalusa, LA 70427 Phone: 985-735-8382 Fax: 985-735-9075 | |
Victor Theriault Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 712 Willis Ave, Bogalusa, LA 70427 Phone: 985-732-4853 |