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Organization Active NPI

Concordia Parish Hospital Service District Number One

Doing business as Trinity Medical

  • Critical Access Hospital
  • Ferriday, LA
National Provider Identifier
1275852303
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
247 Issued in LA
Legal business name
CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE
Doing business as
Trinity Medical
Practice address
6569 Highway 84
Ferriday, LA 71334-4573
Phone
(318) 757-6551
Fax
(318) 757-6832
NPI assigned
May 28, 2010
Last updated
Oct 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Nekeisha Lashay Smith
Title
Administrator
Phone
(318) 719-3636

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 247 LA
Critical Access Hospital 282NC0060X 247 LA Primary

Addresses

Primary practice location

6569 Highway 84
Ferriday, LA 71334-4573

Mailing address

PO Box 111
Ferriday, LA 71334-0111
Phone (318) 757-6551

Other identifiers 1

IdentifierTypeStateIssuer
1732231MedicaidLA

Other names 1

  • Trinity Medical Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220126003139 LA Part A Provider - Critical Access Hospital 4587559935 Practice locations: Ferriday, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275852303. Details of each certification follow.

Hospital certification: CCN 19Z318

Legal name
CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE
Doing business as
TRINITY MEDICAL
Organization structure
OtherNon-profit
Enrollment address
6569 Highway 84
Ferriday, LA 71334-4573
Other Hospital Practice Location

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).

National Provider Directory

National Provider Directory
Tax ID family
Riverland Med Ctr Newel5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

104 Louisiana Ave
#1
Ferriday, LA 71334
Phone (318) 757-0210

204 Serio Blvd
Ferriday, LA 71334
Phone (318) 757-0210

6569 Highway 84
Ste D
Ferriday, LA 71334
Phone (318) 719-3228

905 2nd St
Ferriday, LA 71334
Phone (318) 757-0210

1643 Carter St
Ste 1
Vidalia, LA 71373
Phone (318) 336-4444

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
Concordia Parish Hospital Service District Number One Organization, Ferriday, LA Non-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2004
Operational/Managerial Control Nov 1, 2004
Connie Vigil Individual W-2 Managing EmployeeDelegated Offical Oct 2, 2013
Spencer Holder Individual Corporate OfficerCfo Aug 1, 2016

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Trinity MedicalFerriday, LA, CCN 191318 Hospital Operational/Managerial Control Jun 1, 1966
Trinity Medical Vidalia ClinicVidalia, LA, CCN 198502 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 12, 2021
Jan 12, 2021
Trinity Medical Ferriday ClinicFerriday, LA, CCN 198514 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 May 1, 2015
May 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.

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 64

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 64

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1275852303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713340111",
            "telephone_number": "318-757-6551",
            "fax_number": "318-757-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6569 HIGHWAY 84",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713344573",
            "telephone_number": "318-757-6551",
            "fax_number": "318-757-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NEKEISHA",
        "authorized_official_middle_name": "LASHAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-719-3636"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "LA",
            "license": "247",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "LA",
            "license": "247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1732231",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ferriday, LA

Sources for this page

Verify at the official NPI Registry.