Active NPI
Jennings American Legion Hospital
- Obstetrics & Gynecology Physician
- Eunice, LA
National Provider Identifier
1053881979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- JENNINGS AMERICAN LEGION HOSPITAL
- Practice address
- 3256 Highway 190
Eunice, LA 70535-5125 - Phone
- (337) 550-3740
- NPI assigned
- Dec 4, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenny Bono
- Title
- Cfo
- Phone
- (337) 616-7032
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
3256 Highway 190
Eunice, LA 70535-5125
Mailing address
1634 Elton Rd
Jennings, LA 70546-3614
Phone (337) 616-7032
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992778799 | Other | NPI |
Other names 1
- Eunice Clinic of JALH
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- General Acute Care Hospital
- Jennings, LA
- NPI 1114921160
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635206400000",
"number": "1053881979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1634 ELTON RD",
"city": "JENNINGS",
"state": "LA",
"postal_code": "705463614",
"telephone_number": "337-616-7032",
"fax_number": "337-616-7034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3256 HIGHWAY 190",
"city": "EUNICE",
"state": "LA",
"postal_code": "705355125",
"telephone_number": "337-550-3740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNINGS AMERICAN LEGION HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-04",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A",
"authorized_official_last_name": "BONO",
"authorized_official_first_name": "JENNY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "337-616-7032"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1992778799",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eunice Clinic of JALH",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Eunice Clinic of JALH",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eunice, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.