NPIMap

Organization Active NPI

Iasis Glenwood Regional Medical Center LP

  • Rehabilitation Hospital Unit
  • West Monroe, LA
National Provider Identifier
1003961038
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
IASIS GLENWOOD REGIONAL MEDICAL CENTER LP
Practice address
503 McMillan Rd
West Monroe, LA 71291-5327
Phone
(318) 329-4200
Fax
(318) 329-4710
NPI assigned
Jan 23, 2007
Organization subpart
Yes
Parent organization
IASIS GLENWOOD REGIONAL MEDICAL CENTER LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeremy M Tinnerello
Title
Hospital Ceo
Phone
(318) 329-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

503 McMillan Rd
West Monroe, LA 71291-5327

Mailing address

503 McMillan Road
Attn: Billing
West Monroe, LA 71291-5327
Phone (318) 329-4200

National Provider Directory

National Provider Directory
Part of
Iasis Glenwood Reg Med Ctr

Locations

3995 Sterlington Rd
Ste C
Monroe, LA 71203
Phone (318) 329-8850

3995 Sterlington Rd
Ste B
Monroe, LA 71203
Phone (318) 329-4776

128 Ridgedale Dr
West Monroe, LA 71291
Phone (318) 329-4279

1117 Cheniere Drew Rd
Ste 2
West Monroe, LA 71291
Phone (318) 329-4368

102 Thomas Rd
Ste 501
West Monroe, LA 71291
Phone (318) 329-4771

102 Thomas Rd
#300B
West Monroe, LA 71291
Phone (318) 329-8470

102 Thomas Rd
Ste 609
West Monroe, LA 71291
Phone (318) 329-4776

102 Thomas Rd
Ste 117
West Monroe, LA 71291
Phone (318) 322-9882

102 Thomas Rd
Ste 300
West Monroe, LA 71291
Phone (318) 329-8500

102 Thomas Rd
Ste 300B
West Monroe, LA 71291
Phone (318) 329-4395

117 Seaboard Ln
Franklin, TN 37067

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1003961038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 MCMILLAN ROAD",
            "address_2": "ATTN: BILLING",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915327",
            "telephone_number": "318-329-4200",
            "fax_number": "318-329-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 MCMILLAN RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915327",
            "telephone_number": "318-329-4200",
            "fax_number": "318-329-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IASIS GLENWOOD REGIONAL MEDICAL CENTER LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IASIS GLENWOOD REGIONAL MEDICAL CENTER LP",
        "enumeration_date": "2007-01-23",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "TINNERELLO",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "HOSPITAL CEO",
        "authorized_official_telephone_number": "318-329-4200"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.