National Provider Identifier Database

WASHINGTON ST TAMMANY REGIONAL MEDICAL CENTER
Student Health


Contact Information

WASHINGTON ST. TAMMANY REGIONAL MEDICAL CENTER
100 M J ISRAEL DR
BOGALUSA, LA70427-3757
Phone: 985-732-7122
Fax:
Website:
Specialty Taxonomy Code
* Student Health 261QS1000X

* Indicates primary specialty

NPI Profile & details for WASHINGTON ST. TAMMANY REGIONAL MEDICAL CENTER

NPI Number 1033247838
Legal business name
LBN
WASHINGTON ST. TAMMANY REGIONAL MEDICAL CENTER
Authorized official DONALD SMITHBURG - (VICE CHANCELLOR CEO)
Entity Organization
Organization subpart No
Enumeration date 03/01/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • LA Medicaid: 1447714

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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