Healthcare Provider Details

I. General information

NPI: 1992455083
Provider Name (Legal Business Name): OCHSNER AMERICAN LEGION HOSPITAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2022
Last Update Date: 03/22/2024
Certification Date: 03/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3256 HIGHWAY 190 STE B
EUNICE LA
70535-5125
US

IV. Provider business mailing address

1634 ELTON RD
JENNINGS LA
70546-3614
US

V. Phone/Fax

Practice location:
  • Phone: 337-550-3740
  • Fax: 337-550-3742
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANA WILLIAMS
Title or Position: CEO
Credential:
Phone: 337-616-7000