Organization Active NPI

Jennings American Legion Hospital

  • Obstetrics & Gynecology Physician
  • Eunice, LA
National Provider Identifier
1053881979
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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

Updated by the provider on Oct 26, 2021

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1992778799OtherNPI

Other names 1

  • Eunice Clinic of JALH Doing business as

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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.

Verify at the official NPI Registry.