Organization Active NPI

Jennings American Legion Hospital Inc.

  • Rural Health Clinic/Center
  • Jennings, LA
National Provider Identifier
1295192557
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
JENNINGS AMERICAN LEGION HOSPITAL INC.
Practice address
1322 Elton Rd
Suite F
Jennings, LA 70546-4100
Phone
(337) 824-8868
Fax
(337) 824-8829
NPI assigned
Jan 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Authorized official

Name
Dana Williams
Title
Ceo
Phone
(337) 616-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1322 Elton Rd
Suite F
Jennings, LA 70546-4100

Mailing address

1634 Elton Rd
Jennings, LA 70546-3614
Phone (337) 616-7000

Other names 1

  • Family Medicine Clinic of Jennings American Legion Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

1322 Elton Rd
Jennings, LA 70546
Phone (337) 329-3352

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Apr 1, 2022 Change of OwnershipThis provider was the seller Ochsner Health Center - JenningsCCN 193495, LA, NPI 1538800503

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1295192557",
    "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": "337-616-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 ELTON RD",
            "address_2": "SUITE F",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705464100",
            "telephone_number": "337-824-8868",
            "fax_number": "337-824-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNINGS AMERICAN LEGION HOSPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-18",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-616-7000"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine Clinic of Jennings American Legion Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jennings, LA

Sources for this page

Verify at the official NPI Registry.