NPIMap

Organization Active NPI

Natchitoches Parish Hospital Service District

Doing business as North Natchitoches Medical Clinic

  • Rural Health Clinic/Center
  • Campti, LA
National Provider Identifier
1093933897
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
NATCHITOCHES PARISH HOSPITAL SERVICE DISTRICT
Doing business as
North Natchitoches Medical Clinic
Practice address
3194 Hwy 71
Campti, LA 71411
Phone
(318) 214-4200
Fax
(318) 214-4493
NPI assigned
Apr 24, 2007
Last updated
Jan 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Mr. Kirk Soileau, FACHE
Title
Ceo
Phone
(318) 214-4512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

3194 Hwy 71
Campti, LA 71411

Mailing address

PO Box 2475
Natchitoches, LA 71457-2475
Phone (318) 663-6131

Other identifiers 1

IdentifierTypeStateIssuer
1808067MedicaidLA

Other names 1

  • NORTH NATCHITOCHES MEDICAL CLINIC Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081125000193 LA Part A Provider - Hospital 2163322140 5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Campti, LA; Natchitoches, LA
O20081202000433 LA Part A Provider - Rural Health Clinic 2163322140 Practice locations: Campti, LA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1093933897. Details of each certification follow.

Hospital certification: CCN 190007

Legal name
NATCHITOCHES PARISH HOSPITAL SERVICE DISTRICT
Doing business as
NATCHITOCHES REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 8, 2023
Beds
96
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
501 Keyser Ave
Natchitoches Regional Medical Center
Natchitoches, LA 71457-2009
Other Hospital Practice Location
Hospital subgroups
Acute care, Swing-bed approved, Psychiatric unit

Rural health clinic certification: CCN 193478

Legal name
NATCHITOCHES PARISH HOSPITAL SERVICE DISTRICT
Doing business as
NORTH NATCHITOCHES MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 24, 2009
Last certification
Mar 2, 2022
Ownership / control type
2B
Organization structure
OtherNon-profit
Enrollment address
3194 Highway 71
Campti, LA 71411-4060
Related CCNs
190007

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

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Natchitoches Regional Medical CenterCCN 190007 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D1082827North Natchitoches Medical Clinic3194 Hwy 71, Campti, LA 71411Certificate of waiverApr 20, 2028

National Provider Directory

National Provider Directory
Tax ID family
Natchitoches Pediatric Associates15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

3197 Hwy 71
Campti, LA 71411
Phone (318) 476-3999

740 Keyser Ave
Ste E
Natchitoches, LA 71457
Phone (318) 214-0088

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Ronald Corkern Individual Corporate DirectorBoard Member Aug 1, 2021
Corporate DirectorBoard Member Nov 15, 2020
John Luster Individual Corporate DirectorBoard Member Aug 1, 2021
Corporate DirectorBoard Member Dec 17, 2023
Michael Newton Individual Corporate DirectorBoard Member Aug 1, 2021
Corporate DirectorBoard Chair Mar 17, 2020
Brent Probasco Individual Corporate OfficerCeo Jul 5, 2023
W-2 Managing EmployeeCeo Jul 5, 2023
Corporate OfficerCfo Jul 5, 2023
W-2 Managing EmployeeCfo Jul 5, 2023
Damian Kirk Soileau Individual Corporate OfficerChief Executive Officer Apr 1, 2013 75%
Corporate OfficerCeo May 1, 2013
Valencia Jones Individual Corporate DirectorBoard Member May 15, 2022
Wayne Halm Individual Corporate DirectorBoard Member Mar 27, 2024
Christopher L Ingram Individual Corporate DirectorBoard Member Aug 1, 2021
Corporate DirectorBoard Member Dec 17, 2023

Owners & managing parties with NPI records 1

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
Louisiana Extended Care Hospital of NatchitochesNatchitoches, LA, CCN 192035 Hospital 5% Or Greater Direct Ownership Interest (51%) Feb 24, 2024
Louisiana Extended Care Hospital of NatchitochesNatchitoches, LA, CCN 19TA35 Hospital 5% Or Greater Direct Ownership Interest (51%) Feb 24, 2024

Owned or controlled facilities with NPI records 2

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

  • LLC-I, LLC

    dba Louisiana Extended Care Hospital of Natchitoches

    • Long Term Care Hospital
    • Natchitoches, LA
    • NPI 1083715841

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • LLC-I, LLC

    dba Louisiana Extended Care Hospital of Natchitoches

    • Rehabilitation Hospital Unit
    • Natchitoches, LA
    • NPI 1417609975

    5% Or Greater Direct Ownership Interest

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 9

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.

Affiliated clinicians 174

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

View all 174

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1093933897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2475",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714572475",
            "telephone_number": "318-663-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3194 HWY 71",
            "city": "CAMPTI",
            "state": "LA",
            "postal_code": "71411",
            "telephone_number": "318-214-4200",
            "fax_number": "318-214-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATCHITOCHES PARISH HOSPITAL SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "SOILEAU",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-214-4512",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1808067",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH NATCHITOCHES MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORTH NATCHITOCHES MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Campti, LA

Sources for this page

Verify at the official NPI Registry.