BAYNE-JONES ARMY COMMUNITY HOSPITAL


Address: 2040 Dragoon Loop, Bldg 1170, Fort Polk, LA 71459-5242
Phone: 3375313118

BAYNE-JONES ARMY COMMUNITY HOSPITAL (NPI# 1093129124) 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) 1093129124
Entity Type Organization
Organization Name BAYNE-JONES ARMY COMMUNITY HOSPITAL
Other Organization Name 10TH MTN BCT CLINIC-POLK
Practice Address 2040 Dragoon Loop
Bldg 1170
Fort Polk
LA 71459-5242
Mailing Address 1585 3rd St
Bldg 285
Fort Polk
LA 71459-5102
Practice Telephone 3375313118
Mailing Telephone 3375313482
Enumeration Date 2014-06-17
Last Update Date 2015-04-08
Authorized Official Name CAROLYN JONES (UBO)
Authorized Official Telephone 3376533220
Is Organization Subpart Y
Parent Organization Name BAYNE-JONES ARMY COMMUNITY HOSPITAL

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1100X Clinic/Center
Specialization: Military/U.S. Coast Guard Outpatient
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
PARENT BJACH NPI 2 1104991215 01

Other Provider/Organization Names

Other Name Type Code
10TH MTN BCT CLINIC-POLK Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
1033218441 Bayne-jones Army Community Hospital Military/U.S. Coast Guard Pharmacy Bldg 1585 3rd St, Bayne Jones Army Community Hosp, Ft Polk, LA 71459 2006-09-22
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 2040 DRAGOON LOOP
BLDG 1170
City FORT POLK
State LA
Zip Code 71459-5242

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 261QM1100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Military/U.S. Coast Guard Outpatient

Taxonomy Definition

The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669815429 Bayne-jones Army Community Hospital Clinic/Center 8103 Georgia Avenue, Bldg 3516, Ft Polk, LA 71459 2013-04-11
1578891222 Bayne-jones Army Community Hospital Clinic/Center 8097 Georgia Ave, Bldg 3507, Ft Polk, LA 71459 2009-11-18
1053598557 Coast Guard Isc Nola Clinic/Center 1790 Saturn Road, New Orleans, LA 70129-2218 2008-01-28
1780742049 Base New Orleans Clinic Clinic/Center 1790 Saturn St, Uscg Base Nola Medical Clinic, New Orleans, LA 70129-2270 2006-12-05
1538123435 Naval Ambulatory Care Center Clinic/Center 2300 General Meyer Ave., Bldg H100, New Orleans, LA 70142-0001 2006-04-17
1396046462 Hswl Neworleans Clinic/Center 1790 Saturn St, New Orleans, LA 70129-2270 2010-11-05
1629278064 Branch Medical Clinic Belle Chasse Clinic/Center 400 Russell Ave, Bldg 41, New Orleans, LA 70143-5077 2007-07-24

Competitor

Search similar providers

City FORT 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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