Provider Demographics
NPI:1841335395
Name:WEST ASCENSION PARISH HOSPITAL
Entity type:Organization
Organization Name:WEST ASCENSION PARISH HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:G
Authorized Official - Last Name:ARBONEAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-474-2133
Mailing Address - Street 1:301 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:DONALDSONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70346-4376
Mailing Address - Country:US
Mailing Address - Phone:225-473-7931
Mailing Address - Fax:225-474-2173
Practice Address - Street 1:301 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:DONALDSONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70346-4376
Practice Address - Country:US
Practice Address - Phone:225-473-7931
Practice Address - Fax:225-474-2173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA118282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1754455Medicaid