Organization Active NPI

Acadia Women's Health

  • Health Service Clinic/Center
  • Crowley, LA
National Provider Identifier
1790970440
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ACADIA WOMEN'S HEALTH
Practice address
527 Odd Fellows Rd Ste B
Crowley, LA 70526-2208
Phone
(337) 785-2006
Fax
(337) 785-2016
NPI assigned
Sep 6, 2007
Last updated
Jul 21, 2022By the provider in NPPES
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
John A Gonzalez, MDNPI 1861490542
Title
President
Phone
(337) 785-2006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

527 Odd Fellows Rd Ste B
Crowley, LA 70526-2208

Mailing address

527 Odd Fellows Rd Ste B
Crowley, LA 70526-2208
Phone (337) 785-2006

Other identifiers 1

IdentifierTypeStateIssuer
1949906MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050210000445 LA Part B Supplier - Clinic/Group Practice 4789636481 Receives reassigned benefits from 5 practitioners
Practice locations: Crowley, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0962925Acadia Women's Health527 Odd Fellows Road, Ste B, Crowley, LA 70526Provider-performed microscopyJul 15, 2027

National Provider Directory

National Provider Directory

Locations

1325 Wright Ave
Ste D
Crowley, LA 70526
Phone (337) 514-5181

527 Odd Fellows Rd
Crowley, LA 70526
Phone (337) 284-9207

527 Odd Fellows Rd
#B
Crowley, LA 70526
Phone (337) 327-8294

Practitioners & affiliated clinicians

Practitioners 5

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": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790970440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 ODD FELLOWS RD STE B",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705262208",
            "telephone_number": "337-785-2006",
            "fax_number": "337-785-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 ODD FELLOWS RD STE B",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705262208",
            "telephone_number": "337-785-2006",
            "fax_number": "337-785-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIA WOMEN'S HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-785-2006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1949906",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.