Lafayette General Medical Center Inc

Organization Active NPI General Acute Care Hospital · Lafayette, LA

NPI 1275536799 · NPPES record last updated Jan 12, 2023

Key facts

NPI
1275536799
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
207 (LA)
Legal business name
LAFAYETTE GENERAL MEDICAL CENTER INC
Practice address
1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone
(337) 289-7991
NPI assigned
May 30, 2005
Organization subpart
No

Authorized official

Name
Ms. Patrick W Gandy Jr.
Title
Ceo
Phone
(337) 289-7743

Owners & managing parties with NPI records 8

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

Other NPIs with the same Medicare PAC ID 4

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

Corporate family (same 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.

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

Facilities with the same owner 74

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

View all 74

Practitioners 177

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

View all 177

Affiliated clinicians 1,048

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

View all 1,048

Medicare Care Compare: Hospital

Listed as
Ochsner Lafayette General Medical Center CCN 190002
Overall star rating
★★★☆☆ 3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Hospital certification: CCN 190002

Legal name
LAFAYETTE GENERAL MEDICAL CENTER INC
Doing business as
OCHSNER LAFAYETTE GENERAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 18, 2025
Beds
526
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Enrollment address
1214 Coolidge Blvd
Lafayette, LA 70503-2621
Main/Primary Hospital Location
Hospital subgroups
Acute care

All disclosed owners & managing parties 24

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

NameRoleSinceShare
Ramesh Kolluru
Individual
Corporate Director
Board Member
Aug 30, 2022
Christopher P Rader
Individual
Corporate Director
Board Member
Jan 31, 2023
Frank L Walker
Individual
Corporate Director
Board Member
Feb 1, 2017
Lafayette General Health System Inc
Organization · Lafayette, LA
Non-profit, Chain home office
5% Or Greater Direct Ownership Interest Jan 1, 1990 100%
Peter C November
Individual
Corporate Officer
Chief Executive Officer (Ocf)
Oct 1, 2020
Julie G Broussard
Individual
Corporate Director
Board Member
Jan 1, 2023
Howard D Wilson
Individual
Corporate Director
Board Member
Jan 31, 2012
Reshma a Bhanushali
Individual
Corporate Director
Board Member
Jan 31, 2023
Jared S Quoyeser
Individual
Corporate Director
Board Member
Feb 1, 2017
Edward Scott Yerger
Individual
Corporate Director
Board Member
Jan 31, 2023
Patrick Gandy
Individual
Corporate Officer
Chief Executive Officer (Olgmc)
May 27, 2013 100%
W-2 Managing Employee
Chief Executive Officer
May 27, 2013 100%
James M Molloy
Individual
Corporate Officer
Evp - Cfo & Treasurer (Ocf)
Jan 1, 2024
Molly B Thomas
Individual
Corporate Director
Board Member
Feb 1, 2018
Ochsner Clinic Foundation
Organization · New Orleans, LA
Corporation, Non-profit
5% Or Greater Indirect Ownership Interest Oct 1, 2020 100%
Norman J Vascocu
Individual
Corporate Director
Board Member
Aug 30, 2022
Timothy L. Riddell
Individual
Corporate Officer
Executive VP & Coo (Ocf)
Jan 1, 2026
Margaret Peggy Giglio
Individual
Corporate Director
Board Member
Jan 26, 2016
Wayne B Cestia
Individual
Corporate Director
Board Member
Feb 1, 2021
Robert I Hart
Individual
Corporate Director
Member of Board of Directors
Oct 1, 2020
Mary Ellen Henry
Individual
Corporate Director
Board Member
Feb 1, 2017
Casey Hoyt
Individual
Corporate Director
Board Member
Aug 30, 2022
Al Patin
Individual
Corporate Officer
Ceo
Feb 26, 2021
Justin Back
Individual
Corporate Director
Board Member
Jan 31, 2023
Ricky W Miniex
Individual
Corporate Director
Board Member
Jan 26, 2016

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20080523000467 LA Part a Provider - Hospital 4688581457 Practice locations: Lafayette, LA; Crowley, LA; Broussard, LA

National Provider Directory

Tax ID family
Lafayette General Med C (7 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 207 LA Yes

Addresses

Primary practice location

1214 Coolidge Blvd
Lafayette, LA 70503-2621

Mailing address

1214 Coolidge Ave.
Lafayette, LA 70503-2621
Phone (337) 289-7374

Other practice location 1

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506-5906
Phone (337) 981-2949

Electronic endpoints

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

Other providers in Lafayette, LA

All providers in Lafayette, LA · General Acute Care Hospital in Louisiana

Sources for this page

Verify at the official NPI Registry.