WASH-ST TAMMANY REG MEDICAL CENTER (NPI# 1801843164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801843164 |
| Entity Type | Organization |
| Organization Name | WASH-ST TAMMANY REG MEDICAL CENTER |
| Other Organization Name | BOGALUSA MEDICAL CENTER |
| Practice Address |
433 Plaza St Bogalusa LA 70427-3729 |
| Practice Telephone | 9857327122 |
| Practice Fax Number | 9857321257 |
| Mailing Telephone | 9857327122 |
| Mailing Fax Number | 9857321257 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2008-04-28 |
| Authorized Official Name | DR. MICHAEL K BUTLER (ACTING CEO) |
| Authorized Official Telephone | 2259220775 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | WASH-ST TAMMANY REG MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1705390 | 05 | |
| LA | BCBS PSYCH | 61048 | 01 |
| Other Name | Type Code |
|---|---|
| Bogalusa Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508809088 | Wash-st Tammany Reg Medical Center | Physician Assistant | 433 Plaza St, Bogalusa, LA 70427-3729 | 2006-06-13 |
| 1235170465 | Wash-st Tammany Reg Medical Center | General Acute Care Hospital | 433 Plaza St, Bogalusa, LA 70427-3729 | 2006-06-09 |
| Street Address |
433 PLAZA ST |
| City | BOGALUSA |
| State | LA |
| Zip Code | 70427-3729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396742508 | C Bryan Miller | Family Medicine | 433 Plaza St, Bogalusa, LA 70427-3729 | 2005-07-01 |
| 1366080483 | Ashley Shuck | Dietitian, Registered | 433 Plaza St, Bogalusa, LA 70427-3729 | 2019-12-19 |
| 1275170847 | Jessica Oalmann Manchester | Nurse Practitioner | 433 Plaza St, Bogalusa, LA 70427-3729 | 2019-12-03 |
| 1508321944 | Tiffani Lyn Traina | Nurse Practitioner | 433 Plaza St, Bogalusa, LA 70427-3729 | 2019-02-08 |
| 1912401795 | Noelle Marie Bordelon Plaisance | Nurse Practitioner | 433 Plaza St, Bogalusa, LA 70427-3729 | 2018-03-19 |
| 1538511043 | Washington Parish Emergency Physicians Group LLC | Emergency Medicine | 433 Plaza St, Bogalusa, LA 70427-3729 | 2016-07-08 |
| 1093171597 | Margaret Hoppenstedt | Nurse Practitioner | 433 Plaza St, Bogalusa, LA 70427-3729 | 2016-01-13 |
| 1538555792 | Krupa Gandhi | Family Medicine | 433 Plaza St, Bogalusa, LA 70427 | 2015-04-14 |
| 1912334533 | Our Lady of The Angels Hospital, Inc. | Physician Assistant | 433 Plaza St, Bogalusa, LA 70427-3729 | 2013-09-27 |
| 1093140600 | Our Lady of The Angels Hospital, Inc. | General Acute Care Hospital | 433 Plaza St, Bogalusa, LA 70427-3729 | 2013-09-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116368 | Lori Polk | Social Worker | 1640 S. Columbia St., Bogalusa, LA 70427 | 2020-05-19 |
| 1366914400 | Cherie Campbell | Case Manager/Care Coordinator | 311 Louisiana Avenue, Bogalusa, LA 70427 | 2018-12-31 |
| 1184134900 | Danielle Magee-keys | Counselor | 438 Ave U, Bogalusa, LA 70427 | 2017-10-06 |
| 1235656950 | House of Love, LLC | Foster Care Agency | 905 Davenport Ave, Bogalusa, LA 70427 | 2017-08-23 |
| 1811426315 | Shinetra Nicole Partman | Licensed Practical Nurse | 2106 Ave F, Bogalusa, LA 70427 | 2017-06-08 |
| 1265984082 | Behaviroal Health &wellness LLC | Community/Behavioral Health | 302 Richmond Street Suite A, Bogalousa, LA 70427 | 2016-10-27 |
| 1871942888 | Barry Warris Bolton | Community Health Worker | 712b Louisiana Ave, Bogalusa, LA 70427 | 2016-06-09 |
| 1376882696 | Judy Gail Jacobs | Licensed Practical Nurse | 619 Willis Avenue, Bogalusa Mental Health Center, Bogalusa, LA 70427 | 2013-02-06 |
| 1477836922 | Tuyet Le | Pharmacist | 329 Superior Avenue, Bogalusa, LA 70427 | 2011-09-21 |
| 1164755286 | Lorene A Randazzo | Dietitian, Registered | 433 Palm St, Bogalusa, LA 70427 | 2009-09-08 |
| Find all providers in zip 70427 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649607268 | Our Lady of The Angels Hospital, Inc. | Psychiatric Unit | 400 Memphis St, Bogalusa, LA 70427-3862 | 2013-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971133 | Start Corporation | Psychiatric Unit | 23251 S Robin Road, Suite 102, Mandeville, LA 70448-7044 | 2020-10-26 |
| 1134365216 | Rural Healthcare Developers of Louisiana LLC | Psychiatric Unit | 2837 Ernest St, Lake Charles, LA 70601-8408 | 2008-12-19 |
| 1831342336 | Sterlington Critical Access Hospital, LLC | Psychiatric Unit | 111 La Hwy 2, Sterlington, LA 71280-3009 | 2008-10-28 |
| 1548452535 | Children's Hospital | Psychiatric Unit | 210 State St Bldg 10, New Orleans, LA 70118-5735 | 2007-08-14 |
| 1649460122 | Hood Memorial Hospital | Psychiatric Unit | 301 West Walnut Street, Amite, LA 70422 | 2007-07-31 |
| 1104980473 | American Legion Hospital | Psychiatric Unit | 300 S Bradford St, Rayne, LA 70578-6961 | 2006-12-21 |
| 1427122969 | Phc-opelousas Lp | Psychiatric Unit | 225 Guidroz, Arnaudville, LA 70512 | 2006-11-17 |
| 1538174347 | East Jefferson General Hospital | Psychiatric Unit | 4200 Houma Boulevard, Metairie, LA 70006-0000 | 2006-07-30 |
| 1801825005 | Hospital Service District # 2 of Lasalle Parish | Psychiatric Unit | 187 Ninth Street, Jena, LA 71342-2780 | 2006-07-01 |
| 1306883384 | Rapides Healthcare System, L.L.C. | Psychiatric Unit | 1610 7th St, Mamou, LA 70554-2299 | 2006-05-31 |
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| 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.