Organization Active NPI

Hospital Service District 2 of the Parish of Tangipahoa State of la.

  • Critical Access Hospital
  • Amite, LA
National Provider Identifier
1003925959
Registry record updated Sep 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
139 Issued in LA
Legal business name
HOSPITAL SERVICE DISTRICT 2 OF THE PARISH OF TANGIPAHOA STATE OF LA.
Practice address
301 W. Walnut St.
Amite, LA 70422-2025
Phone
(985) 748-9485
Fax
(985) 748-8144
NPI assigned
Aug 30, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Edward C. Dugar
Title
Ceo
Phone
(985) 748-9485

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

Affiliated clinicians 68

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 68

Care Compare: Hospital

Medicare Care Compare
Listed as
Hood Memorial HospitalCCN 191309
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS3 enrollments

Hospital certification: CCN 191309

Medicare enrollment files
Legal name
HOSPITAL SERVICE DISTRICT 2 OF THE PARISH OF TANGIPAHOA STATE OF LA
Doing business as
HOOD MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Apr 1, 2003
Last certification
Apr 1, 2026
Beds
25
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
301 West Walnut Street
Hood Memorial Hospital
Amite, LA 70422-2098

Hospital certification: CCN 19Z309

Medicare enrollment files
Legal name
HOSPITAL SERVICE DISTRICT 2 OF THE PARISH OF TANGIPAHOA STATE OF LA
Doing business as
HOOD MEMORIAL HOSPITAL SWING BED
Organization structure
GovernmentNon-profit
Enrollment address
301 West Walnut Street
Hood Memorial Hospital
Amite, LA 70422-2098
Hospital Swing-Bed Unit

Rural health clinic certification: CCN 193985

Medicare enrollment files
Legal name
HOSPITAL SERVICE DISTRICT 2 OF THE PARISH OF TANGIPAHOA STATE OF LA
Doing business as
AMITE RURAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 16, 1994
Last certification
Apr 17, 2026
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
409 NW Central Ave
Amite, LA 70422-2428
Related CCNs
191309

All disclosed owners & managing parties 9

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John Smith Individual Corporate Director Feb 22, 2022
Randy Bracy Individual Corporate Director Jan 1, 2018
Corporate OfficerBoard Member Jan 1, 2018
Michael J Magee Individual Corporate OfficerCfo Jul 23, 2019
W-2 Managing EmployeeCfo Jul 23, 2019
W-2 Managing EmployeeCfo Aug 5, 2019 50%
Operational/Managerial ControlCfo Jul 25, 2018
Charles Guzzardo Individual Corporate Director Aug 1, 2011
Corporate OfficerBoard Member Aug 1, 2011
James Whittington Individual Corporate OfficerCeo Dec 3, 2018 95%
W-2 Managing EmployeeCeo Jan 1, 2023 100%
Operational/Managerial ControlCeo Dec 3, 2018 95%
Corporate OfficerCeo Dec 1, 2018
Raymond R Cutrer Individual Corporate Director Feb 1, 2016
Corporate OfficerBoard Member Jan 1, 2016
Corporate OfficerBoard Member Jan 1, 2017
Robert W Lee Individual Corporate Director Jan 1, 2014
Corporate OfficerBoard Member Jan 1, 2014
Corporate OfficerBoarad Member Jan 1, 2014
Hospital Service District 2 of the Parish of Tangipahoa State of la Organization, Amite, LA 5% Or Greater Direct Ownership Interest Apr 1, 2003
Operational/Managerial Control Jun 16, 2014 50%
Arthur a Mauterer Individual Corporate OfficerBoard Member Jan 1, 2012

All facility ownership & control disclosures 2

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Amite Rural Health ClinicAmite, LA, CCN 193985 Rural health clinic Operational/Managerial Control (50%) Jun 16, 2014
West Oak Family ClinicAmite, LA, CCN 198558 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jul 28, 2025
Jul 28, 2025

Medicare enrollment records 3

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20070822001426 LA Part a Provider - Critical Access Hospital 2163314949 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Amite, LA
O20080530000663 MS Part a Provider - Critical Access Hospital 2163314949 1 other NPI on this enrollment
Practice locations: Amite, LA
O20100305000494 LA Part a Provider - Rural Health Clinic 2163314949 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Amite, LA

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 139 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

301 W. Walnut St.
Amite, LA 70422-2025

Mailing address

301 W. Walnut St.
Amite, LA 70422-2025
Phone (985) 748-9485

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
1735116MedicaidLA
90147OtherLABLUE CROSS
90147OtherLAHOSPITAL BLUE CROSS

Other names 1

NPPES NPI Registry
  • Hood Memorial Hospital Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 12, 2017.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505174400000",
    "number": "1003925959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W. WALNUT ST.",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704222025",
            "telephone_number": "985-748-9485",
            "fax_number": "985-748-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W. WALNUT ST.",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704222025",
            "telephone_number": "985-748-9485",
            "fax_number": "985-748-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL SERVICE DISTRICT 2 OF THE PARISH OF TANGIPAHOA STATE OF LA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2017-09-12",
        "status": "A",
        "authorized_official_last_name": "DUGAR",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-748-9485",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "LA",
            "license": "139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1735116",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "90147",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPITAL BLUE CROSS",
            "identifier": "90147",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hood Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amite, LA

Sources for this page

Verify at the official NPI Registry.