BOGALUSA CBOC (3821) INSTITUTION (4)

Name	Value
NAME	BOGALUSA CBOC
STATE	LOUISIANA
STREET ADDR. 1	521 ONTARIO AVENUE
CITY	BOGALUSA
ZIP	70427-2612
OFFICIAL VA NAME	BOGALUSA CBOC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 16 PARENT FACILITY PARENT OF ASSOCIATION: SE LOUISIANA VETERANS HCS
BILLING FACILITY NAME	BOGALUSA VA CLINIC
EFFECTIVE DATE/TIME	2010-02-01 00:00:00 STATUS: ACTIVE NPI: 1023348828
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
STATION NUMBER	629GF