OrganizationActive
Clinics of the Southeast LLC
NPI 1053979815 · Rural Health Clinic/Center · Bogalusa, LA
Provider details
- NPI number
- 1053979815
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Anthony Palazzo, Ceo
Practice location
405 Avenue F
Bogalusa, LA 70427-3633
Phone: (985) 732-1568
Fax: (985) 732-4458
Mailing address
Po Box 370
Bogalusa, LA 70429-0370
Registry dates
- Enumerated
- 2019-06-05
- Last updated
- 2019-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.