NPIMap

Organization Active NPI

Richland Parish Hospital Service District No 1-B

Doing business as Northeast Louisiana Health Center

  • Rural Health Clinic/Center
  • Rayville, LA
National Provider Identifier
1043368392
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
020 Issued in LA
Legal business name
RICHLAND PARISH HOSPITAL SERVICE DISTRICT NO 1-B
Doing business as
Northeast Louisiana Health Center
Practice address
256 Highway 3048
Rayville, LA 71269-3624
Phone
(318) 728-2046
Fax
(318) 728-9371
NPI assigned
Jan 5, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
James Barrett Jr.
Title
Administrator
Phone
(318) 728-2046

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 020 LA Primary
Rural Health Clinic/Center 261QR1300X NU
Family Nurse Practitioner 363LF0000X 020 LA
Family Medicine Physician 207Q00000X 020 LA
Internal Medicine Physician 207R00000X 020 LA

Addresses

Primary practice location

256 Highway 3048
Rayville, LA 71269-3624

Mailing address

256 Highway 3048
Rayville, LA 71269-3624
Phone (318) 728-2046

Other practice location 1

1012 Louisa St
Rayville, LA 71269-2957
Phone (318) 728-2046

Other identifiers 2

IdentifierTypeStateIssuer
1797146MedicaidLA
1945081MedicaidLA

Other names 1

  • Northeast Louisiana Health Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041011000019 LA Part B Supplier - Clinic/Group Practice 2163481599 Receives reassigned benefits from 12 practitioners
Practice locations: Rayville, LA
O20100616000297 LA Part A Provider - Rural Health Clinic 2163481599 Practice locations: Rayville, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043368392. Details of each certification follow.

Rural health clinic certification: CCN 193412

Legal name
RICHLAND PARISH HOSPITAL SERVICE DISTRICT NO 1-B
Doing business as
NORTHEAST LOUISIANA HEALTH CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 22, 1995
Last certification
Jul 27, 2021
Ownership / control type
2A
Organization structure
GovernmentNon-profit
Enrollment address
256 Highway 3048
Rayville, LA 71269-3624
Related CCNs
190151

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

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
RMC - Northeast la Heal7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

161 Christian Dr
Rayville, LA 71269
Phone (318) 661-3030

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Richland Parish Hospital Service District No 1-B Organization, Rayville, LA Non-profit Operational/Managerial Control May 22, 1995 100%
Donna Eldridge Individual W-2 Managing EmployeeAd; Feb 1, 2022 100%
Operational/Managerial ControlCfo Feb 1, 2022 100%

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Richardson Medical CenterRayville, LA, CCN 190151 Hospital Operational/Managerial Control Oct 1, 1966
Start Community ClinicRayville, LA, CCN 193492 Rural health clinic Operational/Managerial Control Oct 1, 2013

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043368392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 HIGHWAY 3048",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712693624",
            "telephone_number": "318-728-2046",
            "fax_number": "318-728-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 HIGHWAY 3048",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712693624",
            "telephone_number": "318-728-2046",
            "fax_number": "318-728-9371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1012 Louisa St",
            "address_purpose": "LOCATION",
            "city": "Rayville",
            "state": "LA",
            "postal_code": "712692957",
            "country_code": "US",
            "telephone_number": "318-728-2046",
            "fax_number": "318-728-3450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RICHLAND PARISH HOSPITAL SERVICE DISTRICT NO 1-B",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-728-2046",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "LA",
            "license": "020",
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "020",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "020",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "020",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1797146",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1945081",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Louisiana Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rayville, LA

Sources for this page

Verify at the official NPI Registry.