BAYNE-JONES ARMY COMMUNITY HOSPITAL (NPI# 1104991215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104991215 |
| Entity Type | Organization |
| Organization Name | BAYNE-JONES ARMY COMMUNITY HOSPITAL |
| Other Organization Name | ACH BAYNE-JONES-POLK |
| Practice Address |
1585 Third Street Fort Polk LA 71459-6000 |
| Practice Telephone | 3375313118 |
| Mailing Telephone | 3375313482 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2015-04-08 |
| Authorized Official Name | CAROLYN JONES (UBO MANAGER) |
| Authorized Official Telephone | 3376533220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1101X |
Clinic/Center Specialization: Military and U.S. Coast Guard Ambulatory Procedure |
LA | Ambulatory Health Care Facilities | |
| N | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
LA | Ambulatory Health Care Facilities | |
| Y | 2865M2000X |
Military Hospital Specialization: Military General Acute Care Hospital |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | BCBS LA PROVIDER # | 61320 | 01 |
| Other Name | Type Code |
|---|---|
| ACH BAYNE-JONES-POLK | Other Name - Individual/Organization |
| 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 |
| 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 |
| Street Address |
1585 THIRD STREET |
| City | FORT POLK |
| State | LA |
| Zip Code | 71459-6000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275800617 | Karin H Choe | Physical Therapist | 1585 Third Street, Bayne-jones Army Community Hospital, Fort Polk, LA 71459 | 2011-11-30 |
| 1932216090 | Christopher Daniel Milstead | Nurse Practitioner | 1585 Third Street, (bldg 285)bayne-jones Army Community Hospital, Fort Polk, LA 71459-5110 | 2006-08-24 |
| 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 Code | 2865M2000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| Specialization | Military General Acute Care Hospital |
| A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "fixed" facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A "fixed" facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as "pass-through" items. |
| Notes: [1/1/2005: title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568822658 | Overton Brooks Vamc | Military Hospital | 200 Hartwell Rd, Minden, LA 71055-6365 | 2016-03-02 |
Please comment or provide details below to improve the information on BAYNE-JONES ARMY COMMUNITY HOSPITAL.
| 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.