JENNINGS AMERICAN LEGION HOSPITAL NPI 1750739470

NPI Information

NPI: 1750739470
Provider Name: JENNINGS AMERICAN LEGION HOSPITAL
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 19D0663961

Address:
328 KELLOGG AVE
LAKE ARTHUR, LA
ZIP 70549
Phone: (337) 774-0100
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JENNINGS AMERICAN LEGION HOSPITAL is a family nurse practitioner in Lake Arthur, LA. JENNINGS AMERICAN LEGION HOSPITAL NPI is 1750739470. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

328 KELLOGG AVE
LAKE ARTHUR, LA
ZIP 70549-502
Phone: (337) 774-0100

The provider's authorized official is Dana Williams .
The authorized official title is Ceo and has the following contact phone number (337) 616-7000.

The CLIA number assigned to this NPI record is 19D0663961 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/3/2016 and was last updated on 6/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	255643	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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