Organization Active NPI

Union General Hospital, Inc

Doing business as Union General Physician Group

  • Critical Access Hospital
  • Farmerville, LA
National Provider Identifier
1063533933
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
146 Issued in LA
Legal business name
UNION GENERAL HOSPITAL, INC
Doing business as
Union General Physician Group
Practice address
901 James Ave
Farmerville, LA 71241-2234
Phone
(318) 368-9751
Fax
(318) 368-7071
NPI assigned
Apr 2, 2007
Last updated
Jul 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Authorized official

Name
Dianne Davidson
Title
Ceo
Phone
(318) 368-7066

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Critical Access Hospital 282NC0060X 146 LA Primary

Addresses

Primary practice location

901 James Ave
Farmerville, LA 71241-2234

Mailing address

P O Box 398
Farmerville, LA 71241-2234
Phone (318) 368-9751

Other names 1

  • UNION GENERAL PHYSICIAN GROUP Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221006000942 LA Part B Supplier - Clinic/Group Practice 0749192367 Receives reassigned benefits from 2 practitioners
Practice locations: Farmerville, LA

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Faisal Ahmad MD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Member organizations 5

Organizations listed as members of this organization in the National Provider Directory.

Locations

1065 Marion Hwy
Farmerville, LA 71241
Phone (318) 368-7097

1937 Veterans Memorial Blvd
Ste 20
Metairie, LA 70005

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Union General HospitalFarmerville, LA, CCN 193444 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Jul 1, 2001
Jul 1, 2001

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1063533933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 398",
            "city": "FARMERVILLE",
            "state": "LA",
            "postal_code": "712412234",
            "telephone_number": "318-368-9751",
            "fax_number": "318-368-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 JAMES AVE",
            "city": "FARMERVILLE",
            "state": "LA",
            "postal_code": "712412234",
            "telephone_number": "318-368-9751",
            "fax_number": "318-368-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION GENERAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-368-7066"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "LA",
            "license": "146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNION GENERAL PHYSICIAN GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmerville, LA

Sources for this page

Verify at the official NPI Registry.