Active NPI
American Legion Hospital
- Internal Medicine Physician
- Crowley, LA
National Provider Identifier
1841339744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 14769R
- Legal business name
- AMERICAN LEGION HOSPITAL
- Practice address
- 1455 Wright Avenue
Crowley, LA 70526 - Phone
- (337) 788-1733
- NPI assigned
- Feb 6, 2007
- Organization subpart
- Yes
- Parent organization
- AMERICAN LEGION HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charmaine Vidrine
- Title
- Chief Financial Officer
- Phone
- (337) 783-3222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 14769R | LA | Primary |
Addresses
Primary practice location
1455 Wright Avenue
Crowley, LA 70526
Mailing address
1455 Wright Avenue
Crowley, LA 70526
Phone (337) 788-1733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154962 | Medicaid | LA |
National Provider Directory
National Provider Directory- Part of
- Tom Price MD
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Acute Care Hospital
- Crowley, LA
- NPI 1366506826
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Lake Charles, LA
- NPI 1447363858
-
- Family Medicine Physician
- Kaplan, LA
- NPI 1619027232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204675200000",
"number": "1841339744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1455 WRIGHT AVENUE",
"city": "CROWLEY",
"state": "LA",
"postal_code": "70526",
"telephone_number": "337-788-1733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 WRIGHT AVENUE",
"city": "CROWLEY",
"state": "LA",
"postal_code": "70526",
"telephone_number": "337-788-1733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN LEGION HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AMERICAN LEGION HOSPITAL",
"enumeration_date": "2007-02-06",
"last_updated": "2008-03-05",
"status": "A",
"authorized_official_last_name": "VIDRINE",
"authorized_official_first_name": "CHARMAINE",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "337-783-3222"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "LA",
"license": "14769R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154962",
"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 Mar 5, 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.