OrganizationActive
Clinics of the Southeast LLC
NPI 1053082743 · Rural Health Clinic/Center · Bogalusa, LA
Provider details
- NPI number
- 1053082743
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Clinic of the Southeast LLC
- Organization subpart
- Yes
- Authorized official
- Anthony Palazzo, Ceo(985) 735-7707
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
219 S Border Dr
Bogalusa, LA 70427-3671
Phone: (985) 732-1568
Street-level locationGet directions
Mailing address
Po Box 370
Bogalusa, LA 70429-0370
Other names (DBA / former)
- Doing business as
- Bogalusa Family Medicine & Behavioral Health
Registry dates
- Enumerated
- 2021-09-23
- Last updated
- 2021-09-23
- Certified
- 2021-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.