Organization
AMERICAN LEGION HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARMAINE VIDRINE (CHIEF FINANCIAL OFFICER)
(337) 783-3222
Entity
Organization
Contact information
Practice address
1305 CROWLEY RAYNE HWY, CROWLEY, LA 70526-8202
(337) 783-3222
(337) 788-6598
Mailing address
1305 CROWLEY RAYNE HWY, CROWLEY, LA 70526-8202
(337) 783-3222
(337) 788-6598
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
242
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730254
—
LA
01
—
90044
BLUE CROSS PROVIDER NUMBE
—
Enumeration date
12/20/2006
Last updated
03/05/2008
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