Healthcare Provider Details

I. General information

NPI: 1366161234
Provider Name (Legal Business Name): OCHSNER AMERICAN LEGION HOSPITAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2022
Last Update Date: 08/24/2022
Certification Date: 08/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1634 ELTON RD
JENNINGS LA
70546-3614
US

IV. Provider business mailing address

1634 ELTON RD
JENNINGS LA
70546-3614
US

V. Phone/Fax

Practice location:
  • Phone: 337-616-7371
  • Fax: 337-616-7034
Mailing address:
  • Phone: 337-616-7371
  • Fax: 337-616-7034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BRIAN TRAHAN
Title or Position: AO - PHARMACIST IN CHARGE
Credential:
Phone: 337-616-7371