NPIMap

Organization Active NPI

Madison Parish Hospital Service District

Doing business as Madison Parish Hospital

  • Critical Access Hospital
  • Tallulah, LA
National Provider Identifier
1093834608
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
143 Issued in LA
Legal business name
MADISON PARISH HOSPITAL SERVICE DISTRICT
Doing business as
Madison Parish Hospital
Practice address
900 Johnson St
Tallulah, LA 71282-4537
Phone
(318) 574-2374
Fax
(318) 574-2396
NPI assigned
Mar 28, 2007
Last updated
Mar 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Satira T Perry, MDNPI 1770673683
Title
Interim Ceo
Phone
(318) 574-5080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 143 LA Primary

Addresses

Primary practice location

900 Johnson St
Tallulah, LA 71282-4537

Mailing address

PO Box 1559
900 Johnson Street
Tallulah, LA 71284-1559
Phone (318) 574-2374

Other identifiers 2

IdentifierTypeStateIssuer
1797511MedicaidLA
60010OtherLABLUE CROSS

Other names 1

  • Madison Parish Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080430000251 LA Part B Supplier - Clinic/Group Practice 6305854878 Receives reassigned benefits from 14 practitioners
Practice locations: Tallulah, LA

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Madison Parish Service District Hospital3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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
Leonard P. Neumann Jr MD Apmca Rural Health ClinicTallulah, LA, CCN 198524 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 15, 2018

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 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1093834608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "address_2": "900 JOHNSON STREET",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712841559",
            "telephone_number": "318-574-2374",
            "fax_number": "318-574-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JOHNSON ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712824537",
            "telephone_number": "318-574-2374",
            "fax_number": "318-574-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON PARISH HOSPITAL SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "SATIRA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "318-574-5080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "LA",
            "license": "143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1797511",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "60010",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Parish Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallulah, LA

Sources for this page

Verify at the official NPI Registry.