NPIMap

Organization Active NPI

Lasalle Parish Hospital Service District #1

Doing business as Hardtner Medical Center

  • Critical Access Hospital
  • Olla, LA
National Provider Identifier
1184815466
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
178 Issued in LA
Legal business name
LASALLE PARISH HOSPITAL SERVICE DISTRICT #1
Doing business as
Hardtner Medical Center
Practice address
1102 N Pine Rd
Olla, LA 71465-4804
Phone
(318) 495-3131
NPI assigned
Aug 5, 2007
Last updated
Apr 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Authorized official

Name
Mr. Paul G Mathews
Title
Ceo
Phone
(318) 495-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 178 LA Primary

Addresses

Primary practice location

1102 N Pine Rd
Olla, LA 71465-4804

Mailing address

1102 N Pine Rd
Olla, LA 71465-4804
Phone (318) 495-3131

Other identifiers 1

IdentifierTypeStateIssuer
5D105OtherLAPINNACLE MEDICARE

Other names 1

  • HARDTNER MEDICAL CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040408000438 LA Part B Supplier - Clinic/Group Practice 6709781545 Receives reassigned benefits from 76 practitioners
1 other NPI on this enrollment
Practice locations: Olla, LA

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.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 77

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 77

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1184815466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 N PINE RD",
            "city": "OLLA",
            "state": "LA",
            "postal_code": "714654804",
            "telephone_number": "318-495-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 N PINE RD",
            "city": "OLLA",
            "state": "LA",
            "postal_code": "714654804",
            "telephone_number": "318-495-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASALLE PARISH HOSPITAL SERVICE DISTRICT #1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-495-3131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "LA",
            "license": "178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PINNACLE MEDICARE",
            "identifier": "5D105",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARDTNER MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HARDTNER MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olla, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.