| Bogalusa Medical Center | |
|
100 M J Israel Dr Bogalusa LA 70427-3757 | |
| (985) 732-7122 | |
| Not Available |
| Full Name | Bogalusa Medical Center |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 100 M J Israel Dr, Bogalusa, Louisiana |
| Authorized Official Name and Position | Donald R Smithburg (VICE CHANCELLOR CEO) |
| Authorized Official Contact | 2259221474 |
| 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 100 M J Israel Dr Bogalusa LA 70427-3757 Ph: (985) 732-7122 |
| NPI Number | 1033247838 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033247838 | NPI | - | NPPES |
| 1447714 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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 | |
Bogalusa Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 433 Plaza St, Bogalusa, LA 70427 Phone: 985-735-1198 | |
Victor Theriault Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 712 Willis Ave, Bogalusa, LA 70427 Phone: 985-732-4853 |