St Helena Parish Hospital
Organization Active NPI Critical Access Hospital · Greensburg, LA
NPI 1013068808 · NPPES record last updated Jun 20, 2019
Key facts
- NPI
- 1013068808
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 102 (LA)
- Legal business name
- ST HELENA PARISH HOSPITAL
- Practice address
- 16874 Highway 43
Greensburg, LA 70441-0337 - Phone
- (225) 222-6111
- Fax
- (225) 222-6743
- NPI assigned
- Jan 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Naveed Awan
- Title
- Ceo/Administrator
- Phone
- (225) 222-6111
Owners & managing parties with NPI records 3
Owned or controlled facilities with NPI records 3
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 3
Related certifications (CCN) 1
Facilities with the same owner 3
Practitioners 43
-
Mark Edward Clawson, MD PMC
-
Nelson Burke Howell, M.D.
-
Kasimu Senghor Moody, M.D.
-
Jimmie W Varnado, M.D.
-
Bernard George Boka, M.D.
-
Derrick Brooks, MD
-
Everett Wade Brown, M.D.
-
Alise H Dozier, FNP
-
Mitchell Paul Feigley, M.D.
-
John P Gavin, M.D.
-
Anwar Ismail, M.D.
-
Darrin Jackson, M.D.
-
Rebecca Markway Lee, DO, RDN
-
Willard Kenneth Mann Jr., DDS, MD
-
Terrence Lenoir Mathers, M.D.
-
Brent Mazoch, MD
-
Michael D Morris, M.D.
-
Charla Poole, M.D., PH.D.
-
Debralee Ann Populis, APRN-BC, MSN, FNP
-
Cary Sharp, MD
Affiliated clinicians 2
-
Anjanette L Varnado, M.D.
-
Jimmie W Varnado, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Hospital certification: CCN 19Z300
- Legal name
- ST HELENA PARISH HOSPITAL
- Organization structure
- Other · Proprietary
- Enrollment address
- 16874 Hwy 43 North
Greensburg, LA 70441-4832
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Joel Landry |
Corporate Officer |
Feb 1, 2015 | |
| St Helena Parish Hospital |
5% Or Greater Direct Ownership Interest | Dec 1, 1999 | 100% |
| Naveed Awan |
Corporate Officer |
Apr 1, 2012 | 100% |
| W-2 Managing Employee | Apr 1, 2012 | 100% |
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| St Helena Parish Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 1999 |
| St Helena Parish Nursing Home |
Skilled nursing facility | Operational/Managerial Control | Jun 13, 1984 |
| St. Helena Parish Hospital Rural Health Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest | May 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100115000596 | LA | Part a Provider - Critical Access Hospital | 6901893205 |
Receives reassigned benefits from 39 practitioners Practice locations: Greensburg, LA |
National Provider Directory
- Tax ID family
- St Helena Parish Rural HLTH
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 102 | LA | Yes |
Addresses
Primary practice location
16874 Highway 43
Greensburg, LA 70441-0337
Mailing address
16874 Highway 43
Greensburg, LA 70441-0337
Phone (225) 222-6111
Other names
- ST HELENA PARISH HOSPITAL
Other providers in Greensburg, LA
- Rachel Lynn Fedele Spitale
- St Helena Community Health Center, Inc
- St Helena Council on Aging
- St Helena Council on Aging Inc
- St Helena Parish Hospital
- St Helena Parish Hospital
- St. Helena Parish Hospital
- St. Helena Parish Hospital
- St. Helena Parish School Board
- Melissa Ann Stringer
All providers in Greensburg, LA · Critical Access Hospital in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.