NPIMap

Organization Active NPI

Catahoula Parish Hospital District No 2

  • Federally Qualified Health Center (FQHC)
  • Ferriday, LA
National Provider Identifier
1245097492
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CATAHOULA PARISH HOSPITAL DISTRICT NO 2
Practice address
112 Serio Blvd
Ferriday, LA 71334-2013
Phone
(318) 389-5727
Fax
(318) 389-9943
NPI assigned
Mar 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Michelle Price Brown
Title
Billing Supervisor/Credentialing
Phone
(318) 389-5727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

112 Serio Blvd
Ferriday, LA 71334-2013

Mailing address

PO Box 8
Sicily Island, LA 71368-0008
Phone (318) 389-5727

Other names 1

  • FERRIDAY HEALTH WEST Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240828002945 LA Part A Provider - Federally Qualified Health Center (FQHC) 8729067434 Practice locations: Ferriday, LA

Federally qualified health center certification: CCN 191192

Legal name
CATAHOULA PARISH HOSPITAL DISTRICT NO 2
Doing business as
FERRIDAY HEALTH WEST
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 11, 2024
Last certification
Jul 11, 2024
Ownership / control type
For profit – corporation
Organization structure
GovernmentNon-profit
Incorporated
Feb 10, 2006 in LA
Enrollment address
112 Serio Blvd
Ferriday, LA 71334-2013

Other NPIs with the same Medicare PAC ID 5

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

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
19D2307047Ferriday Health West112 Serio Blvd, Ferriday, LA 71334Certificate of waiverJan 1, 2028

National Provider Directory

National Provider Directory
Tax ID family
Catahoula Parish Hospit7 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 organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1810 EE Wallace Blvd N
Ste 6
Ferriday, LA 71334
Phone (318) 336-9030

112 Serio Blvd
Ferriday, LA 71334
Phone (318) 389-5727

1820 EE Wallace Blvd N
Ferriday, LA 71334
Phone (318) 389-5727

320A Bushley St
Harrisonburg, LA 71340
Phone (318) 389-5727

904 First St
Jonesville, LA 71343
Phone (318) 339-6162

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Renee Ford Individual W-2 Managing EmployeeAd;Cfo May 1, 2001
Debra Miesch Individual 5% Or Greater Direct Ownership InterestCeo Apr 1, 2024 5%
Michelle P Brown Individual W-2 Managing Employee May 1, 2001

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Ferriday Family Health CenterFerriday, LA, CCN 191846 Federally qualified health center Operational/Managerial Control Jul 12, 2010
Jonesville Medical CenterJonesville, LA, CCN 191947 Federally qualified health center 5% Or Greater Direct Ownership Interest (25%) Jan 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.

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1245097492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "SICILY ISLAND",
            "state": "LA",
            "postal_code": "713680008",
            "telephone_number": "318-389-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SERIO BLVD",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713342013",
            "telephone_number": "318-389-5727",
            "fax_number": "318-389-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATAHOULA PARISH HOSPITAL DISTRICT NO 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "PRICE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR/CREDENTIALING",
        "authorized_official_telephone_number": "318-389-5727"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FERRIDAY HEALTH WEST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ferriday, LA

Sources for this page

Verify at the official NPI Registry.