NPIMap

Organization Active NPI

Richland Parish Hospital Service District No 1-B

Doing business as Richardson Medical Center

  • General Acute Care Hospital
  • Rayville, LA
National Provider Identifier
1255370144
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
211 Issued in LA
Legal business name
RICHLAND PARISH HOSPITAL SERVICE DISTRICT NO 1-B
Doing business as
Richardson Medical Center
Practice address
254 Highway 3048
Rayville, LA 71269-3624
Phone
(318) 728-4181
Fax
(318) 728-8293
NPI assigned
Jun 6, 2006
Last updated
Jul 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Authorized official

Name
Mrs. Joanna J Pierce, R.N.
Title
Director Utilization
Phone
(318) 728-8314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 211 LA Primary

Addresses

Primary practice location

254 Highway 3048
Rayville, LA 71269-3624

Mailing address

PO Box 388
254 Hwy 3048
Rayville, LA 71269-0388
Phone (318) 728-4181

Other identifiers 2

IdentifierTypeStateIssuer
1735370MedicaidLA
90151OtherLABLUE CROSS

Other names 1

  • RICHARDSON MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20041011000012 LA Part B Supplier - Clinic/Group Practice 2163481599 Receives reassigned benefits from 68 practitioners
5 other NPIs on this enrollment
Practice locations: Rayville, LA
O20070718000427 LA Part A Provider - Hospital 2163481599 Practice locations: Rayville, LA
O20111214001043 LA Part A Provider - Hospital 2163481599 Practice locations: Rayville, LA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1255370144. Details of each certification follow.

Hospital certification: CCN 190151

Legal name
RICHLAND PARISH HOSPITAL SERVICE DISTRICT NO 1-B
Doing business as
RICHARDSON MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Aug 26, 1971
Last certification
Dec 8, 2021
Beds
38
Ownership / control type
Hospital district or authority
Organization structure
GovernmentNon-profit
Incorporated
in LA
Enrollment address
254 Highway 3048
Rayville, LA 71269-3624
Other Hospital Practice Location
Hospital subgroups
Swing-bed approved

Hospital certification: CCN 19U151

Legal name
RICHLAND PARISH HOSPITAL SERVICE DISTRICT NO 1-B
Doing business as
RICHARDSON MEDICAL CENTER
Organization structure
OtherNon-profit
Enrollment address
254 Highway 3048
Rayville, LA 71269-3624
Other Hospital Practice Location
Hospital subgroups
Swing-bed approved

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).

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
Richardson Medical CenterCCN 190151 · All quality measures
Type
Acute Care 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
Richland Parish Hosp SV7 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.

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
Richland Parish Hospital Service District No 1-B Organization, Rayville, LA Operational/Managerial Control Oct 1, 1966
Donna Eldridge Individual Corporate OfficerCfo Jan 31, 2022 100%
W-2 Managing EmployeeAd; Feb 1, 2022 100%
Richland Open MRI LLC Organization, Rayville, LA 5% Or Greater Direct Ownership Interest Jul 1, 2009
Karl Broussard Individual W-2 Managing EmployeeAd; Apr 28, 2025 100%

Owners & managing parties with NPI records 2

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
Northeast Louisiana Health CenterRayville, LA, CCN 193412 Rural health clinic Operational/Managerial Control (100%) May 22, 1995
Start Community ClinicRayville, LA, CCN 193492 Rural health clinic Operational/Managerial Control Oct 1, 2013

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 68

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 68

Affiliated clinicians 64

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

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1255370144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "address_2": "254 HWY 3048",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712690388",
            "telephone_number": "318-728-4181",
            "fax_number": "318-728-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 HIGHWAY 3048",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712693624",
            "telephone_number": "318-728-4181",
            "fax_number": "318-728-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHLAND PARISH HOSPITAL SERVICE DISTRICT NO 1-B",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR UTILIZATION",
        "authorized_official_telephone_number": "318-728-8314",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "LA",
            "license": "211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1735370",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "90151",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RICHARDSON MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rayville, LA

Sources for this page

Verify at the official NPI Registry.