BAYNE-JONES ARMY COMMUNITY HOSPITAL


Address: Bldg 1585 3rd St, Bayne Jones Army Community Hosp, Ft Polk, LA 71459
Phone: 3375313508

BAYNE-JONES ARMY COMMUNITY HOSPITAL (NPI# 1033218441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033218441
Entity Type Organization
Organization Name BAYNE-JONES ARMY COMMUNITY HOSPITAL
Other Organization Name POLK PHCY
Practice Address Bldg 1585 3rd St
Bayne Jones Army Community Hosp
Ft Polk
LA 71459
Mailing Address 1585 3rd St Bldg 285
Fort Polk
LA 71459-5102
Practice Telephone 3375313508
Practice Fax Number 3375313158
Mailing Telephone 2102218274
Mailing Fax Number 2102952567
Enumeration Date 2006-09-22
Last Update Date 2016-01-13
Authorized Official Name HECTOR MORALES (CHIEF DHA PASS)
Authorized Official Telephone 2105366650
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332000000X Military/U.S. Coast Guard Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2034731 01

Other Provider/Organization Names

Other Name Type Code
POLK PHCY Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1093129124 Bayne-jones Army Community Hospital Clinic/Center 2040 Dragoon Loop, Bldg 1170, Fort Polk, LA 71459-5242 2014-06-17
1669815429 Bayne-jones Army Community Hospital Clinic/Center 8103 Georgia Avenue, Bldg 3516, Ft Polk, LA 71459 2013-04-11
1710224514 Bayne-jones Army Community Hospital Military/U.S. Coast Guard Pharmacy 8091 Georgia Ave Bldg 3504, Fort Polk, LA 71459-5468 2013-01-14
1578891222 Bayne-jones Army Community Hospital Clinic/Center 8097 Georgia Ave, Bldg 3507, Ft Polk, LA 71459 2009-11-18
1619172905 Bayne-jones Army Community Hospital Clinic/Center 1561 Mississippi Street, Fort Polk, LA 71459 2007-06-18
1841547650 Bayne-jones Army Community Hospital Clinic/Center 8091 Georgia Ave, Bld 3504 Ctmc, Fort Polk, LA 71459-5468 2012-08-10
1609024504 Bayne-jones Army Community Hospital Clinic/Center 1585 3rd St, Chesser Dental Clinic, Fort Polk, LA 71459-5102 2008-09-04
1811192461 Bayne-jones Army Community Hospital Clinic/Center 1585 3rd St, Building 285, Fort Polk, LA 71459-5102 2007-06-15
1104991215 Bayne-jones Army Community Hospital Clinic/Center 1585 Third Street, Fort Polk, LA 71459-6000 2006-11-22

Office Location

Street Address BLDG 1585 3RD ST
BAYNE JONES ARMY COMMUNITY HOSP
City FT POLK
State LA
Zip Code 71459

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952806986 Brenda Moore Dental Hygienist 7223 Mississippi Ave Building 2157, Fort Polk, LA 71459 2018-03-30
1073017158 Tiffany Alexander Dental Assistant 1561 Mississippi Ave, Ft Polk, LA 71459 2018-03-22
1922524529 Keith Allan Smiley Dentist 7223 Mississippi Avenue Bldg. 1561, Fort Polk, LA 71459 2017-08-16
1336663046 Alexis Caitlyn Stamm Specialist/Technologist 5644 Bazydlo Ct, Fort Polk, LA 71459 2017-08-03
1538615893 Remedios Macan Dondoyano Physical Therapist Bayne-jones Army Community Hospital, 1585 3rd St., Attn: Pt Department, Fort Polk, LA 71459 2016-08-28
1306298997 Roslyn Faulk Dental Assistant 7223 Mississippi Avenut, Frot Polk, LA 71459 2016-07-07
1346691888 Joy Martin Dental Hygienist 7223 Mississippi Avenue, Fort Polk, LA 71459 2016-06-27
1255743936 Aprille Boudreau Counselor 5513 B Gardner Dr., Fort Polk, LA 71459 2014-05-29
1407273170 Mikaela Diana Mcmanus Physician Assistant Building 7318 C Ave G, Fort Polk, LA 71459 2014-03-19
1669815429 Bayne-jones Army Community Hospital Clinic/Center 8103 Georgia Avenue, Bldg 3516, Ft Polk, LA 71459 2013-04-11
Find all providers in zip 71459

Taxonomy Information

Taxonomy Code 332000000X
Grouping Suppliers
Classification Military/U.S. Coast Guard Pharmacy

Taxonomy Definition

A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.
Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710224514 Bayne-jones Army Community Hospital Military/U.S. Coast Guard Pharmacy 8091 Georgia Ave Bldg 3504, Fort Polk, LA 71459-5468 2013-01-14
1942309356 New Orleans Nac Phcy Military/U.S. Coast Guard Pharmacy 1 Sanctuary Dr Bldg H100, New Orleans, LA 70142-0001 2006-09-22
1467551093 2 Nd Medical Group Sgsl Military/U.S. Coast Guard Pharmacy Bldg 4709, Barksdale Afb, LA 71110 2006-09-21
1710084561 Naval Hospital Pensacola Military/U.S. Coast Guard Pharmacy 4400 Dauphine St Bldg 601, New Orleans, LA 70146-5609 2006-09-20
1316554645 Baynes-jones Army Community Hospital Military/U.S. Coast Guard Pharmacy 1585 3rd St Bldg 285, Fort Polk, LA 71459-5102 2020-09-30
1447664727 Bayne Jones Army Community Hospital Military/U.S. Coast Guard Pharmacy 1585 3rd St Bldg 285, Bayne Jones Army Community Hospital, Fort Polk, LA 71459-5102 2014-06-16
1093128282 Naval Hospital Pensacola Military/U.S. Coast Guard Pharmacy 400 Russell Ave Bldg 41, New Orleans, LA 70143-5077 2014-06-05
1538571096 2mdss Sgsb Military/U.S. Coast Guard Pharmacy 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 2014-06-02
1992802748 2nd Medical Group Sgsl Military/U.S. Coast Guard Pharmacy 243 Curtiss Rd, Ste 100, Barksdale Afb, LA 71110-2425 2006-09-20
1205800109 2 Mdss Sgsr Military/U.S. Coast Guard Pharmacy 243 Curtiss Rd, Suite 100, Barksdale Afb, LA 71110-2425 2006-02-15
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City FT POLK
Zip Code 71459

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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