Organization Active NPI

Laird Hospital, Inc.

Doing business as Ochsner Laird Hospital Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Union, MS
National Provider Identifier
1033176276
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
13-310 Issued in MS
Legal business name
LAIRD HOSPITAL, INC.
Doing business as
Ochsner Laird Hospital Swing Bed
Practice address
25117 Highway 15
Union, MS 39365-9088
Phone
(601) 774-8214
Fax
(601) 774-5401
NPI assigned
May 1, 2006
Last updated
Apr 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Mr. Don Larkin Kennedy
Title
Regional Ceo
Phone
(601) 703-9614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 13-310 MS Primary

Addresses

Primary practice location

25117 Highway 15
Union, MS 39365-9088

Mailing address

Dept. 3021, PO Box 1000
Memphis, TN 38148-3021
Phone (601) 213-3010

Other identifiers 1

IdentifierTypeStateIssuer
000220793MedicaidMS

Other names 1

  • Ochsner Laird Hospital Swing Bed Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210526002976 MS Part A Provider - Critical Access Hospital 7214991769 Practice locations: Union, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033176276. Details of each certification follow.

Hospital certification: CCN 25Z322

Legal name
LAIRD HOSPITAL, INC.
Doing business as
OCHSNER LAIRD HOSPITAL SWING BED
Organization structure
CorporationNon-profit
Enrollment address
25117 Highway 15
Union, MS 39365-9088
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 8

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

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Johnathan Y Lee Individual Corporate DirectorGoverning Board, Rush Health System Jul 1, 2022
Operational/Managerial ControlGoverning Board, Rush Health System Jul 1, 2022
Michael F Hulefeld Individual Corporate OfficerPresident, Coo Nov 1, 2022
Corporate DirectorPresident, Coo Nov 1, 2022
Operational/Managerial ControlPresident, Coo Nov 1, 2022
Faye Martin Individual Corporate DirectorGoverning Board, Rush Health System Jul 1, 2022
Operational/Managerial ControlGoverning Board, Rush Health System Jul 1, 2022
Alan Gartrell Individual Corporate DirectorGoverning Board, Rush Health System Jul 1, 2022
Operational/Managerial ControlGoverning Board, Rush Health System Jul 1, 2022
Peter C November Individual Corporate OfficerChief Executive Officer Nov 1, 2022
Corporate DirectorChief Executive Officer Nov 1, 2022
Operational/Managerial ControlChief Executive Officer Nov 1, 2022
Heather Davis Individual W-2 Managing EmployeeAdministrator Jan 1, 2024
Operational/Managerial ControlAdministrator Jan 1, 2024
James M Molloy Individual Corporate OfficerExecutive VP, Cfo, Treasurer Jan 1, 2024
Darrell Wildman Individual Corporate DirectorGoverning Board, Rush Health System Jul 1, 2022
Operational/Managerial ControlGoverning Board, Rush Health System Jul 1, 2022
Ochsner Clinic Foundation Organization, New Orleans, LA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2022 100%
Operational/Managerial Control Jul 1, 2022
Don L Kennedy Individual Corporate OfficerRegional Chief Executive Officer Jul 1, 2022
W-2 Managing EmployeeRegional Chief Executive Officer, R Jul 1, 2022
Operational/Managerial ControlRegional Chief Executive Officer, R Jul 1, 2022
Rush Health Systems Inc Organization, Meridian, MS Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2022 100%
Operational/Managerial Control Dec 14, 2004
David L Butler Individual Corporate OfficerChief Financial Officer, Rush He Jul 1, 2022
W-2 Managing EmployeeChief Financial Officer, Rush Healt Jul 1, 2022
Operational/Managerial ControlChief Financial Officer, Rush Healt Jul 1, 2022

Owners & managing parties with NPI records 3

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

Facilities with the same owner 75

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

View all 75

Practitioners & affiliated clinicians

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1033176276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT. 3021, PO BOX 1000",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381483021",
            "telephone_number": "601-213-3010",
            "fax_number": "601-213-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25117 HIGHWAY 15",
            "city": "UNION",
            "state": "MS",
            "postal_code": "393659088",
            "telephone_number": "601-774-8214",
            "fax_number": "601-774-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAIRD HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "LARKIN",
        "authorized_official_title_or_position": "REGIONAL CEO",
        "authorized_official_telephone_number": "601-703-9614",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "MS",
            "license": "13-310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000220793",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ochsner Laird Hospital Swing Bed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union, MS

Sources for this page

Verify at the official NPI Registry.