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Lallie Kemp Medical Ctr

Organization Active NPI Critical Access Hospital · Independence, LA

NPI 1083661409 · NPPES record last updated Feb 25, 2008

Key facts

NPI
1083661409
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
Legal business name
LALLIE KEMP MEDICAL CTR
Practice address
52579 Highway 51 S
Independence, LA 70443-2231
Phone
(985) 878-9421
Fax
(985) 878-1263
NPI assigned
May 30, 2006
Organization subpart
No

Authorized official

Name
Dr. Michael K Butler, M.D.
Title
Acting Ceo
Phone
(225) 922-0775

Other NPIs on the same Medicare enrollment 1

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

Other NPIs with the same Medicare PAC ID 2

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

Corporate family (same tax ID) 2

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

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

Facilities with the same owner 1

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

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 38

Affiliated clinicians 72

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

View all 72

Medicare Care Compare: Hospital

Listed as
Lallie Kemp Medical Center CCN 191321
Type
Critical Access Hospitals
Ownership
Government - State
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Hospital certification: CCN 191321

Legal name
LALLIE KEMP MEDICAL CTR
Doing business as
LALLIE KEMP REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2005
Last certification
Oct 10, 2025
Beds
24
Ownership / control type
State
Organization structure
Other · Non-profit
Enrollment address
52579 Highway 51 South
Independence, LA 70443-2231

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
Louisiana State University Health Sciences Center - Health Care Servic
Organization · Baton Rouge, LA
Management services company 		Operational/Managerial Control Jul 16, 2007
Michael Carter
Individual 		W-2 Managing Employee Sep 21, 2007
Chad Thompson
Individual 		W-2 Managing Employee Sep 21, 2007
Lanette Buie
Individual 		Corporate Officer
Deputy Ceo		 Sep 4, 2013 100%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20110408000651 LA Part a Provider - Critical Access Hospital 0345238903 1 other NPI on this enrollment
Practice locations: Independence, LA

National Provider Directory

Tax ID family
Lallie Kemp Commcare (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Yes

Addresses

Primary practice location

52579 Highway 51 S
Independence, LA 70443-2231

Mailing address

52579 Highway 51 S
Independence, LA 70443-2231
Phone (985) 878-9421

Other identifiers

IdentifierTypeStateIssuer
1720411MedicaidLA
90010OtherLABCBS ACUTE

Other names

  • Lallie Kemp Regional Medical Center Doing business as

Other providers in Independence, LA

All providers in Independence, LA · Critical Access Hospital in Louisiana

Sources for this page

Verify at the official NPI Registry.