Organization
PARISH OF ASCENSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNY MATASSA (HEALTH UNIT DIRECTOR)
(225) 644-4582
Entity
Organization
Contact information
Practice address
1024 E ASCENSION COMPLEX BLVD, GONZALES, LA 70737-4263
(225) 644-4582
(225) 644-3635
Mailing address
PO BOX 2392, GONZALES, LA 70707-2392
(225) 644-4582
(225) 644-3635
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417254
—
LA
Enumeration date
07/18/2007
Last updated
07/21/2022
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