NPIMap

Organization Active NPI

Promise Hospital of Ascension Inc

  • Long Term Care Hospital
  • Gonzales, LA
National Provider Identifier
1174788798
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
610 Issued in LA
Legal business name
PROMISE HOSPITAL OF ASCENSION INC
Practice address
615 East Worthey Rd
Gonzales, LA 70737-4240
Phone
(225) 621-1241
Fax
(225) 621-1419
NPI assigned
Jul 23, 2008
Organization subpart
Yes
Parent organization
PROMISE HEALTHCARE INC CORP OFFICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Mr. Craig P Boudreaux Jr.
Title
Area Ceo VP
Phone
(225) 621-1241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 610 LA Primary

Addresses

Primary practice location

615 East Worthey Rd
Gonzales, LA 70737-4240

Mailing address

615 East Worthey Rd
Gonzales, LA 70737-4240
Phone (225) 621-1241

Other identifiers 2

IdentifierTypeStateIssuer
1754439MedicaidLA
1748285MedicaidLA

Other names 1

  • East Ascension Parish Hospital Service District dba Ascension Hospital Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1174788798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 EAST WORTHEY RD",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374240",
            "telephone_number": "225-621-1241",
            "fax_number": "225-621-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 EAST WORTHEY RD",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374240",
            "telephone_number": "225-621-1241",
            "fax_number": "225-621-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE HOSPITAL OF ASCENSION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROMISE HEALTHCARE INC CORP OFFICE",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "BOUDREAUX",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "AREA CEO VP",
        "authorized_official_telephone_number": "225-621-1241",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "LA",
            "license": "610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1754439",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1748285",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Ascension Parish Hospital Service District dba Ascension Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 23, 2008; 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.