Organization Active NPI

Parish of Ascension

  • Public Health or Welfare Agency
  • Gonzales, LA
National Provider Identifier
1174723266
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
PARISH OF ASCENSION
Practice address
1024 E Ascension Complex Blvd
Gonzales, LA 70737-4263
Phone
(225) 644-4582
Fax
(225) 644-3635
NPI assigned
Jul 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kenny Matassa
Title
Health Unit Director
Phone
(225) 644-4582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X LA Primary

Addresses

Primary practice location

1024 E Ascension Complex Blvd
Gonzales, LA 70737-4263

Mailing address

PO Box 2392
Gonzales, LA 70707-2392
Phone (225) 644-4582

Other identifiers 1

IdentifierTypeStateIssuer
1417254MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Ascension Counseling and Substance Abuse Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174723266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2392",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707072392",
            "telephone_number": "225-644-4582",
            "fax_number": "225-644-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 E ASCENSION COMPLEX BLVD",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374263",
            "telephone_number": "225-644-4582",
            "fax_number": "225-644-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARISH OF ASCENSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MATASSA",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "HEALTH UNIT DIRECTOR",
        "authorized_official_telephone_number": "225-644-4582",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417254",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.