BOGALUSA FAMILY PRACTICE – NPI #1104084839
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

BOGALUSA FAMILY PRACTICE is a provider located in BOGALUSA, LA. NPPES has assigned the NPI number 1104084839 to BOGALUSA FAMILY PRACTICE on May 29, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOGALUSA FAMILY PRACTICE below.

NPI Profile for
BOGALUSA FAMILY PRACTICE

NPI Number
1104084839
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BOGALUSA FAMILY PRACTICE
Primary location
433 PLAZA ST
BOGALUSA, LA 70427-3729
Phone: (985) 735-1198 Fax:
Mailing address
PO BOX 700
BOGALUSA, LA 70429-0700
Phone: Fax:
Organization Subpart
No
Authorized Official
MELVIN LESTER
BILLING CLERK
Phone: (985) 732-1899
Updated
Identifiers

Identifiers for BOGALUSA FAMILY PRACTICE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDLA1365858
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
LA MD107924

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.