NPIMap

Organization Active NPI

Brfhh Monroe LLC

Doing business as Ochsner LSU Health Monroe

  • General Acute Care Hospital
  • Monroe, LA
National Provider Identifier
1215939210
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
2203782025 Issued in LA
Legal business name
BRFHH MONROE LLC
Doing business as
Ochsner LSU Health Monroe
Practice address
4864 Jackson St
Hospital Administration
Monroe, LA 71202-6400
Phone
(318) 330-7528
Fax
(318) 330-7591
NPI assigned
Aug 10, 2005
Last updated
Oct 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Mrs. Mitzi Green
Title
Director
Phone
(318) 519-8816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 2203782025 LA Primary

Addresses

Primary practice location

4864 Jackson St
Hospital Administration
Monroe, LA 71202-6400

Mailing address

4864 Jackson St
Hospital Administration
Monroe, LA 71202-6400
Phone (318) 330-7000

Other identifiers 1

IdentifierTypeStateIssuer
1720372MedicaidLA

Other names 1

  • Ochsner LSU Health Monroe Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131112000023 LA Part A Provider - Hospital 0042446577 Practice locations: Monroe, LA; West Monroe, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215939210. Details of each certification follow.

Hospital certification: CCN 190011

Legal name
BRFHH MONROE LLC
Doing business as
OCHSNER LSU HEALTH MONROE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 6, 2023
Beds
247
Ownership / control type
Private (not for profit)
Most recent change of ownership
Oct 1, 2013 (6 total)
Organization structure
LLCProprietary
Enrollment address
4864 Jackson St
Monroe, LA 71202-6400
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

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

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Ochsner Lsu Health MonroeCCN 190011 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Brfhh Monroe LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

207 Thomas Rd
West Monroe, LA 71291
Phone (318) 267-9777

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
Olh Operational Management Company LLC Organization, New Orleans, LA LLC Operational/Managerial Control Oct 1, 2018
James M Molloy Individual Operational/Managerial ControlEvp - Cfo & Treasurer Jan 1, 2026
Mark Randolph Individual Contracted Managing EmployeeChief Executive Officer Apr 13, 2020
Corporate OfficerChief Executive Officer Apr 13, 2020
Operational/Managerial ControlChief Executive Officer Apr 13, 2020
David L Callecod Individual Contracted Managing EmployeeAd; Feb 11, 2025
Corporate OfficerCeo- Ochsner Lsu Health Feb 11, 2025
BRF Hospital Holdings LLC Organization, Shreveport, LA LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 1, 2018 100%
Operational/Managerial Control Oct 1, 2018 100%
Ochsner Lsu Health System of North Louisiana Organization, Shreveport, LA Created for acquisition, Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2018 100%
Operational/Managerial Control Oct 1, 2018
Ochsner Clinic Foundation Organization, New Orleans, LA Corporation, Non-profit Operational/Managerial Control Oct 1, 2018
Other Oct 1, 2018
David Ford Lewis Individual Contracted Managing EmployeeOlhs-NL Chief Medical Officer Oct 1, 2018

Owners & managing parties with NPI records 1

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

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Practitioners 33

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 33

Affiliated clinicians 224

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

View all 224

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1215939210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4864 JACKSON ST",
            "address_2": "HOSPITAL ADMINISTRATION",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712026400",
            "telephone_number": "318-330-7000",
            "fax_number": "318-330-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4864 JACKSON ST",
            "address_2": "HOSPITAL ADMINISTRATION",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712026400",
            "telephone_number": "318-330-7528",
            "fax_number": "318-330-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRFHH MONROE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MITZI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-519-8816",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "LA",
            "license": "2203782025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720372",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ochsner LSU Health Monroe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.