Organization
PROMISE HOSPITAL OF ASCENSION INC
Active
Parent organization
PROMISE HEALTHCARE INC CORP OFFICE
Other names
East Ascension Parish Hospital Service District dba Ascension Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROMISE HEALTHCARE INC CORP OFFICE
Authorized official
MR. CRAIG P BOUDREAUX JR. (AREA CEO VP)
(225) 621-1241
Entity
Organization
Contact information
Practice address
615 EAST WORTHEY RD, GONZALES, LA 70737-4240
(225) 621-1241
(225) 621-1419
Mailing address
615 EAST WORTHEY RD, GONZALES, LA 70737-4240
(225) 621-1241
(225) 621-1419
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
610
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1748285
—
LA
05
—
1754439
—
LA
Enumeration date
07/23/2008
Last updated
07/23/2008
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