NPIMap

Organization Active NPI

Department of Health & Hospital

Doing business as FPHSA/Hammond A D C

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Denham Springs, LA
National Provider Identifier
1265676860
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
395A Issued in LA
Legal business name
DEPARTMENT OF HEALTH & HOSPITAL
Doing business as
FPHSA/Hammond A D C
Practice address
1920 Florida Ave SW
Denham Springs, LA 70726-4970
Phone
(225) 665-0473
Fax
(225) 665-0283
NPI assigned
Apr 27, 2009
Last updated
Apr 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Authorized official

Name
Mr. Willie J. Wallace Jr., GSW
Title
Clinic Manager
Phone
(985) 543-4070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 395A LA Primary

Addresses

Primary practice location

1920 Florida Ave SW
Denham Springs, LA 70726-4970

Mailing address

1920 Florida Ave SW
Denham Springs, LA 70726-4970
Phone (225) 665-0473

Other names 1

  • FPHSA/Hammond A D C Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Florida Parishes Human Services Authority Fontainebleau TX Center31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

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

View all 30

Locations

1920 Florida Ave SW
Denham Springs, LA 70726
Phone (225) 665-0473

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1265676860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 FLORIDA AVE SW",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264970",
            "telephone_number": "225-665-0473",
            "fax_number": "225-665-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 FLORIDA AVE SW",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264970",
            "telephone_number": "225-665-0473",
            "fax_number": "225-665-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH & HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "985-543-4070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "GSW"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "LA",
            "license": "395A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FPHSA/Hammond A D C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.