NPIMap

Organization Active NPI

G. B. Cooley Hospital Service District

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • West Monroe, LA
National Provider Identifier
1013133925
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
G. B. COOLEY HOSPITAL SERVICE DISTRICT
Practice address
364 GB Cooley Rd
West Monroe, LA 71291-8866
Phone
(318) 396-6300
Fax
(318) 396-7663
NPI assigned
Apr 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jimmy Sanderlin
Title
Director of Accounting
Phone
(318) 396-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

364 GB Cooley Rd
West Monroe, LA 71291-8866

Mailing address

364 GB Cooley Rd
West Monroe, LA 71291-8866
Phone (318) 396-6300

Other identifiers 1

IdentifierTypeStateIssuer
1921629MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
G B Cooley Services Shannon29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013133925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 GB COOLEY RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712918866",
            "telephone_number": "318-396-6300",
            "fax_number": "318-396-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 GB COOLEY RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712918866",
            "telephone_number": "318-396-6300",
            "fax_number": "318-396-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. B. COOLEY HOSPITAL SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDERLIN",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTING",
        "authorized_official_telephone_number": "318-396-6300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1921629",
            "state": "LA"
        }
    ],
    "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 Aug 22, 2020; 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.