NPIMap

Organization Active NPI

Lafayette General Medical Center Inc

  • General Acute Care Hospital
  • Lafayette, LA
National Provider Identifier
1275536799
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
207 Issued in 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
Last updated
Jan 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Authorized official

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

Specialties & licenses 1

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

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 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
O20080523000467 LA Part A Provider - Hospital 4688581457 Practice locations: Lafayette, LA; Crowley, LA; Broussard, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275536799. Details of each certification follow.

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
CorporationNon-profit
Enrollment address
1214 Coolidge Blvd
Lafayette, LA 70503-2621
Main/Primary Hospital Location
Hospital subgroups
Acute care

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

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Ochsner Lafayette General Medical CenterCCN 190002 · 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
Quick Care of LHS South7 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.

Ownership & related parties

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 DirectorBoard Member Aug 30, 2022
Christopher P Rader Individual Corporate DirectorBoard Member Jan 31, 2023
Frank L Walker Individual Corporate DirectorBoard 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 OfficerChief Executive Officer (Ocf) Oct 1, 2020
Julie G Broussard Individual Corporate DirectorBoard Member Jan 1, 2023
Howard D Wilson Individual Corporate DirectorBoard Member Jan 31, 2012
Reshma a Bhanushali Individual Corporate DirectorBoard Member Jan 31, 2023
Jared S Quoyeser Individual Corporate DirectorBoard Member Feb 1, 2017
Edward Scott Yerger Individual Corporate DirectorBoard Member Jan 31, 2023
Patrick Gandy Individual Corporate OfficerChief Executive Officer (Olgmc) May 27, 2013 100%
W-2 Managing EmployeeChief Executive Officer May 27, 2013 100%
James M Molloy Individual Corporate OfficerEvp - Cfo & Treasurer (Ocf) Jan 1, 2024
Molly B Thomas Individual Corporate DirectorBoard 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 DirectorBoard Member Aug 30, 2022
Timothy L. Riddell Individual Corporate OfficerExecutive VP & Coo (Ocf) Jan 1, 2026
Margaret Peggy Giglio Individual Corporate DirectorBoard Member Jan 26, 2016
Wayne B Cestia Individual Corporate DirectorBoard Member Feb 1, 2021
Robert I Hart Individual Corporate DirectorMember of Board of Directors Oct 1, 2020
Mary Ellen Henry Individual Corporate DirectorBoard Member Feb 1, 2017
Casey Hoyt Individual Corporate DirectorBoard Member Aug 30, 2022
Al Patin Individual Corporate OfficerCeo Feb 26, 2021
Justin Back Individual Corporate DirectorBoard Member Jan 31, 2023
Ricky W Miniex Individual Corporate DirectorBoard Member Jan 26, 2016

Owners & managing parties with NPI records 8

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

Facilities with the same owner 74

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

View all 74

Practitioners & affiliated clinicians

Practitioners 102

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 102

Affiliated clinicians 1,047

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

View all 1,047

NPI Registry JSON

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1275536799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 COOLIDGE AVE.",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032621",
            "telephone_number": "337-289-7374",
            "fax_number": "337-289-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 COOLIDGE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032621",
            "telephone_number": "337-289-7991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2810 Ambassador Caffery Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705065906",
            "country_code": "US",
            "telephone_number": "337-981-2949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAFAYETTE GENERAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-30",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "GANDY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-289-7743",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "LA",
            "license": "207",
            "primary": true
        }
    ],
    "identifiers": [],
    "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": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.