Active NPI
Jennings American Legion Hospital, Inc.
- Rural Health Clinic/Center
- Jennings, LA
National Provider Identifier
1508240490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- JENNINGS AMERICAN LEGION HOSPITAL, INC.
- Practice address
- 805 State St
Jennings, LA 70546-4739 - Phone
- (337) 824-6150
- NPI assigned
- Jul 10, 2015
- 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
- Dana Williams
- Title
- Ceo
- Phone
- (337) 764-7033
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
805 State St
Jennings, LA 70546-4739
Mailing address
1634 Elton Rd
Jennings, LA 70546-3614
Other names 1
- JALH Physician Clinics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryOwnership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Apr 1, 2022 | Change of Ownership | Ochsner Health Center - N. State St. |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Rural Health Clinic/Center
- Jennings, LA
- NPI 1093465163
Sold to, 2022-04-01
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436486400000",
"number": "1508240490",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 STATE ST",
"city": "JENNINGS",
"state": "LA",
"postal_code": "705464739",
"telephone_number": "337-824-6150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNINGS AMERICAN LEGION HOSPITAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-10",
"last_updated": "2015-07-10",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "DANA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "337-764-7033"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JALH Physician Clinics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jennings, LA
- Jefferson Davis Physician Services, LLC
- Jennings American Legion Hospital Inc
- Jennings American Legion Hospital Inc
- Jennings American Legion Hospital Inc.
- Jennings American Legion Hospital, Inc.
- Jennings American Legion Hospital, Inc.
- Jennings Anesthesia LLC
- Jennings Family Chiropractic
- Jennings Family Healthcare, LLC
- Jennings Family Healthcare, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.