NPIMap

Organization Active NPI

Concordia Parish Hospital Service District Number One

Doing business as Trinity Medical

  • Critical Access Hospital
  • Ferriday, LA
National Provider Identifier
1144227935
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
247 Issued in LA
Legal business name
CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE
Doing business as
Trinity Medical
Practice address
6569 Highway 84
Ferriday, LA 71334-4573
Phone
(318) 757-6551
Fax
(318) 757-6832
NPI assigned
Jul 7, 2005
Last updated
Oct 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Nekeisha Smith
Title
Administrator
Phone
(318) 757-6551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 247 LA Primary

Addresses

Primary practice location

6569 Highway 84
Ferriday, LA 71334-4573

Mailing address

PO Box 111
Ferriday, LA 71334-0111
Phone (318) 757-6551

Other identifiers 3

IdentifierTypeStateIssuer
1732231MedicaidLA
00020473MedicaidMS
1752231MedicaidLA

Other names 1

  • Trinity Medical Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041012000111 LA Part B Supplier - Clinic/Group Practice 4587559935 Receives reassigned benefits from 62 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ferriday, LA
O20220125001021 LA Part A Provider - Critical Access Hospital 4587559935 Receives reassigned benefits from 45 practitioners
Practice locations: Ferriday, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144227935. Details of each certification follow.

Hospital certification: CCN 191318

Legal name
CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE
Doing business as
TRINITY MEDICAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Nov 1, 2004
Last certification
May 18, 2022
Beds
25
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
6569 Highway 84
Ferriday, LA 71334-4573
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Riverland Medical CenterCCN 191318 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Riverland Med Ctr Newel5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

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
Concordia Parish Hospital Service District Number One Organization, Ferriday, LA Non-profit Operational/Managerial Control Jun 1, 1966
Connie Vigil Individual W-2 Managing EmployeeDelegated Official Nov 1, 2004
Spencer Holder Individual Corporate OfficerCfo Aug 10, 2016
Nekeisha Smith Individual Corporate OfficerCeo Jan 1, 2021

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Trinity MedicalFerriday, LA, CCN 19Z318 Hospital 5% Or Greater Indirect Ownership Interest
Operational/Managerial Control		 Nov 1, 2004
Nov 1, 2004
Trinity Medical Vidalia ClinicVidalia, LA, CCN 198502 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 12, 2021
Jan 12, 2021
Trinity Medical Ferriday ClinicFerriday, LA, CCN 198514 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 May 1, 2015
May 1, 2015

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 58

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 58

Affiliated clinicians 92

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

View all 92

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1144227935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713340111",
            "telephone_number": "318-757-6551",
            "fax_number": "318-403-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6569 HIGHWAY 84",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713344573",
            "telephone_number": "318-757-6551",
            "fax_number": "318-757-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NEKEISHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-757-6551"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "LA",
            "license": "247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1732231",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00020473",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1752231",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ferriday, LA

Sources for this page

Verify at the official NPI Registry.