Active NPI
Jennings American Legion Hospital, Inc.
- General Acute Care Hospital
- Jennings, LA
National Provider Identifier
1114921160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 138
- Legal business name
- JENNINGS AMERICAN LEGION HOSPITAL, INC.
- Practice address
- 1634 Elton Rd
Jennings, LA 70546-3614 - Phone
- (337) 616-7030
- Fax
- (337) 616-7034
- NPI assigned
- Jun 8, 2005
- 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
- Mr. Dana D Williams
- Title
- Chief Executive Officer
- Phone
- (337) 616-7030
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 138 | LA | |
| General Acute Care Hospital | 282N00000X | 138 | LA | Primary |
Addresses
Primary practice location
1634 Elton Rd
Jennings, LA 70546-3614
Mailing address
1634 Elton Rd
Jennings, LA 70546-3614
Phone (337) 616-7030
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720071 | Medicaid | LA | |
| 1900663961 | Other | CLIA |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Eunice Clinic of JALH
- Obstetrics & Gynecology Physician
- Eunice, LA
- NPI 1053881979
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635206400000",
"number": "1114921160",
"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": "337-616-7030",
"fax_number": "337-616-7034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1634 ELTON RD",
"city": "JENNINGS",
"state": "LA",
"postal_code": "705463614",
"telephone_number": "337-616-7030",
"fax_number": "337-616-7034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNINGS AMERICAN LEGION HOSPITAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-08",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "DANA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "337-616-7030",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": "LA",
"license": "138",
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "LA",
"license": "138",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720071",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "1900663961",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jennings, LA
- Jefferson Davis Parish School Board
- Jefferson Davis Physician Services, LLC
- Jennings American Legion Hospital Inc (JALH Outpatient Pharmacy)
- Jennings American Legion Hospital Inc (Jalh Physician Clnics #2)
- Jennings American Legion Hospital Inc. (Family Medicine Clinic of Jennings American Legion Hospital)
- Jennings American Legion Hospital, Inc. (JALH Physician Clinics)
- Jennings American Legion Hospital, Inc.
- Jennings Anesthesia LLC
- Jennings Family Chiropractic
- Jennings Family Healthcare, LLC (Jennings Family Healthcare)
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.