Bogalusa Family Practice

LBN: Bogalusa Family Practice
Bogalusa Family Practice is an health care organization with primary practice located at 433 Plaza St , Bogalusa LA 70427-3729. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Bogalusa Family Practice can be contacted via phone (985) 735-1198, or through Lester, Melvin via phone (985) 732-1899.

Contact Information

Primary practice address
433 Plaza St Bogalusa LA 70427-3729
Phone: (985) 735-1198
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lester, Melvin
Phone: (985) 732-1899

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD107924 Louisiana

Profile Details

NPI number 1104084839
LBN Legal business name Bogalusa Family Practice
DBA Doing business as
Authorized official Lester, Melvin
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2008
Last updated May 29th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104084839 NPPES
Louisiana MEDICAID 1365858

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