NPIMap

Organization Active NPI

Hospital Service District 2 of the Parish of Tangipahoa State of la.

  • Emergency Medicine Physician
  • Amite, LA
National Provider Identifier
1083751010
Registry record updated Aug 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
HOSPITAL SERVICE DISTRICT 2 OF THE PARISH OF TANGIPAHOA STATE OF LA.
Practice address
301 W Walnut St
Amite, LA 70422-2025
Phone
(985) 748-7141
Fax
(985) 748-3181
NPI assigned
Jan 31, 2007
Last updated
Aug 28, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
HOSPITAL SERVICE DISTRICT 2 OF THE PARISH OF TANGIPAHOA STATE OF LA.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2017

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

Authorized official

Name
Mr. Edward C. Dugar
Title
Ceo
Phone
(985) 284-2404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

301 W Walnut St
Amite, LA 70422-2025

Mailing address

301 W. Walnut St.
Amite, LA 70422-2025
Phone (985) 748-9485

Other identifiers 3

IdentifierTypeStateIssuer
04772OtherLABLUE CROSS PRO FEE
04772OtherLABLUE CROSS
1797235MedicaidLA

Other names 1

  • Hood Memorial Hospital -Physicians Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040326000531 LA Part B Supplier - Clinic/Group Practice 2163314949 Receives reassigned benefits from 23 practitioners
Practice locations: Amite, 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
Part of
Hood Mem Hosp ER

Ownership & related parties

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Hood Memorial Hospital Swing BedAmite, LA, CCN 19Z309 Hospital 5% Or Greater Direct Ownership Interest Apr 1, 2003
Amite Rural Health ClinicAmite, LA, CCN 193985 Rural health clinic Operational/Managerial Control (50%) Jun 16, 2014
West Oak Family ClinicAmite, LA, CCN 198558 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 28, 2025
Jul 28, 2025

Owned or controlled facilities with NPI records 4

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

Practitioners & affiliated clinicians

Practitioners 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503878400000",
    "number": "1083751010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W. WALNUT ST.",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704222025",
            "telephone_number": "985-748-9485",
            "fax_number": "985-748-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W WALNUT ST",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704222025",
            "telephone_number": "985-748-7141",
            "fax_number": "985-748-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL SERVICE DISTRICT 2 OF THE PARISH OF TANGIPAHOA STATE OF LA.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPITAL SERVICE DISTRICT 2 OF THE PARISH OF TANGIPAHOA STATE OF LA.",
        "enumeration_date": "2007-01-31",
        "last_updated": "2017-08-28",
        "status": "A",
        "authorized_official_last_name": "DUGAR",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-284-2404",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PRO FEE",
            "identifier": "04772",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "04772",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1797235",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hood Memorial Hospital -Physicians",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Amite, LA

Sources for this page

Verify at the official NPI Registry.