Provider Demographics
NPI:1306849617
Name:WEST ASCENSION PARISH HOSPITAL SERVICE DISTRICT
Entity type:Organization
Organization Name:WEST ASCENSION PARISH HOSPITAL SERVICE DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:CATALDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-473-7931
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:225-474-2138
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:225-474-2138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-31
Last Update Date:2015-05-13
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
LA1743291Medicaid
LA191308Medicare Oscar/Certification