Provider Demographics
NPI:1619534344
Name:ASCENT HEALTH, INC
Entity Type:Organization
Organization Name:ASCENT HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:EBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-654-4245
Mailing Address - Street 1:PO BOX 15377
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71207-5377
Mailing Address - Country:US
Mailing Address - Phone:318-654-4245
Mailing Address - Fax:
Practice Address - Street 1:1198 BARROW ST
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-5693
Practice Address - Country:US
Practice Address - Phone:985-232-3930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASCENT HEALTH, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-29
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health