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LTAC HOSPITAL OF WASHINGTON- ST. TAMMANY LLC NPI 1588899009


NPI Information

NPI: 1588899009
Provider Name: LTAC HOSPITAL OF WASHINGTON- ST. TAMMANY LLC

Doing Business As: SLIDELL-AMG SPECIALTY HOSPITAL BOGALUSA CAMPUS

Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization
Address:
621 COLUMBIA ST
BOGALUSA, LA
ZIP 70427
Phone: (985) 732-4402
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LTAC HOSPITAL OF WASHINGTON- ST. TAMMANY LLC is a long term care hospital in Bogalusa, LA. The provider is long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. LTAC HOSPITAL OF WASHINGTON- ST. TAMMANY LLC NPI is 1588899009. The provider is registered as an organization entity type.
The provider Is Doing Business As Slidell-amg Specialty Hospital Bogalusa Campus.

The provider's business location address is:

621 COLUMBIA ST
BOGALUSA, LA
ZIP 70427-721
Phone: (985) 732-4402
Fax: (985) 732-4708

The provider's authorized official is Dawn D. Hargrave .
The authorized official title is Director Of Billing and has the following contact phone number (337) 269-9828.

The enumeration date for this NPI number is 5/28/2009 and was last updated on 2/11/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1282E00000XLong Term Care Hospital584LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
119204600MEDICARE OSCAR/CERTIFICATIONLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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