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Organization

JENNINGS AMERICAN LEGION HOSPITAL, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANA D WILLIAMS (CHIEF EXECUTIVE OFFICER)
(337) 616-7030
Entity
Organization

Contact information

Practice address
1634 ELTON RD, JENNINGS, LA 70546-3614
(337) 616-7030
(337) 616-7034
Mailing address
1634 ELTON RD, JENNINGS, LA 70546-3614
(337) 616-7030
(337) 616-7034

Taxonomy

Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
138
LA
282N00000X
General Acute Care Hospital
Primary
138
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1720071
LA
01
1900663961
CLIA
Enumeration date
06/08/2005
Last updated
10/26/2021
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