NPIMap

Organization Active NPI

Hospital Service District No. 1 of the Parish of St. Mary

Doing business as Bayou Bend Health System

  • Critical Access Hospital
  • Franklin, LA
National Provider Identifier
1043218365
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
627 Issued in LA
Legal business name
HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. MARY
Doing business as
Bayou Bend Health System
Practice address
1097 Northwest Blvd
Franklin, LA 70538-3407
Phone
(337) 828-0760
Fax
(337) 828-5024
NPI assigned
Jul 11, 2005
Last updated
Jan 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Ms. Stephanie A Guidry
Title
Chief Executive Officer
Phone
(337) 828-0760

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 627 LA Primary
Rural Acute Care Hospital 282NR1301X 123 LA

Addresses

Primary practice location

1097 Northwest Blvd
Franklin, LA 70538-3407

Mailing address

PO Box 577
Franklin, LA 70538-0577
Phone (337) 828-0760

Other identifiers 1

IdentifierTypeStateIssuer
1720062MedicaidLA

Other names 1

  • Bayou Bend Health System Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040227000510 LA Part B Supplier - Clinic/Group Practice 6800782541 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Franklin, LA
O20110121000795 LA Part A Provider - Critical Access Hospital 6800782541 Practice locations: Franklin, LA; Baldwin, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043218365. Details of each certification follow.

Hospital certification: CCN 191310

Legal name
HOSPITAL SERVICE DISTRICT NO 1 OF THE PARISH OF ST MARY
Doing business as
BAYOU BEND HEALTH SYSTEM
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Apr 1, 2003
Last certification
May 20, 2023
Beds
22
Ownership / control type
Hospital district or authority
Organization structure
CorporationNon-profit
Incorporated
Mar 25, 1950 in LA
Enrollment address
1097 Northwest Blvd
Franklin, LA 70538-3407
Main/Primary Hospital Location

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

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Bayou Bend Health SystemCCN 191310 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Mary Bevier Individual Corporate OfficerChief Financial Officer Jun 1, 2024
Collette Vaccarella Individual W-2 Managing Employee Aug 1, 2007
Stephanie Atkins Guidry Individual Corporate OfficerChief Executive Officer Jan 9, 2017
Tina Petry Individual W-2 Managing Employee Aug 1, 2007

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 94

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

View all 94

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1043218365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705380577",
            "telephone_number": "337-828-0760",
            "fax_number": "337-828-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 NORTHWEST BLVD",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705383407",
            "telephone_number": "337-828-0760",
            "fax_number": "337-828-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. MARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "GUIDRY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "337-828-0760",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "LA",
            "license": "627",
            "primary": true
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "LA",
            "license": "123",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720062",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayou Bend Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, LA

Sources for this page

Verify at the official NPI Registry.