NPIMap

Organization Active NPI

Kemper Cah, Inc

Doing business as Ochsner Health Center-Hwy 39

  • Rural Health Clinic/Center
  • Meridian, MS
National Provider Identifier
1275879314
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
KEMPER CAH, INC
Doing business as
Ochsner Health Center-Hwy 39
Practice address
4331 Highway 39 N
Meridian, MS 39301-1007
Phone
(601) 484-6180
Fax
(601) 482-0944
NPI assigned
Dec 18, 2012
Last updated
Jun 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Don Larkin Kennedy
Title
Regional Ceo
Phone
(601) 703-9614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

4331 Highway 39 N
Meridian, MS 39301-1007

Mailing address

Dept. 3019 P O Box 1000
Memphis, TN 38148-3019
Phone (601) 213-3010

Other identifiers 1

IdentifierTypeStateIssuer
009015196MedicaidMS

Other names 1

  • Ochsner Health Center-Hwy 39 Doing business as

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 MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110622000294 MS Part B Supplier - Clinic/Group Practice 5991985012 Receives reassigned benefits from 92 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: De Kalb, MS; Marion, MS; Meridian, MS
O20130516000495 MS Part A Provider - Rural Health Clinic 5991985012 Practice locations: Meridian, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275879314. Details of each certification follow.

Rural health clinic certification: CCN 253471

Legal name
KEMPER CAH, INC.
Doing business as
OCHSNER HEALTH CENTER-HWY 39
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 7, 1996
Last certification
Jan 31, 2023
Ownership / control type
2A
Most recent change of ownership
Feb 1, 2013 (2 total)
Organization structure
CorporationNon-profit
Incorporated
Sep 29, 2008 in MS
Enrollment address
4331 Highway 39 N
Meridian, MS 39301-1007
Related CCNs
251335

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

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Kemper Cah Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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.

Locations

14365 Highway 16 W
De Kalb, MS 39328
Phone (769) 486-1000

14365 Highway 16 W
#C
De Kalb, MS 39328
Phone (769) 486-1000

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Johnathan Y Lee Individual Corporate DirectorGoverning Board,Rush Health Systems Jul 1, 2022
Operational/Managerial ControlGoverning Board,Rush Health Systems Jul 1, 2022
Kristin K. Molony Individual W-2 Managing EmployeeAdministrator Jul 1, 2022
Operational/Managerial ControlAdministrator Jul 1, 2022
Michael F Hulefeld Individual Corporate OfficerPresident, Coo Nov 1, 2022
Corporate DirectorMember of Governing Board Jul 1, 2022
Operational/Managerial ControlMember of Governing Board Jul 1, 2022
Faye Martin Individual Corporate DirectorGoverning Board,Rush Health System Jul 1, 2022
Operational/Managerial ControlGoverning Board,Rush Health Systems Jul 1, 2022
Alan Gartrell Individual Corporate DirectorGoverning Board,Rush Health Systems Jul 1, 2022
Operational/Managerial ControlGoverning Board,Rush Health System Jul 1, 2022
Peter C November Individual Corporate OfficerChief Executive Officer Nov 1, 2022
Corporate DirectorMember of Governing Board Jul 1, 2022
Operational/Managerial ControlMember of Governing Board Jul 1, 2022
James M Molloy Individual Corporate OfficerExecutive VP, Cfo, Treasurer Jan 1, 2024
Darrell Wildman Individual Corporate DirectorGoverning Board,Rush Health Systems Jul 1, 2022
Operational/Managerial ControlGoverning Board,Rush Health Systems Jul 1, 2022
Ochsner Clinic Foundation Organization, New Orleans, LA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2022 100%
Operational/Managerial Control Jul 1, 2022
Don L Kennedy Individual Corporate OfficerRegional Chief Executive Officer Jul 1, 2022
W-2 Managing EmployeeRegional Chief Executive Officer Jul 1, 2022
Operational/Managerial ControlRegional Chief Executive Officer Jul 1, 2022
Rush Health Systems Inc Organization, Meridian, MS Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2022 100%
Operational/Managerial Control Feb 1, 2013
David L Butler Individual Corporate OfficerChief Financial Officer,Rush Hea Jul 1, 2022
W-2 Managing EmployeeChief Financial Officer,Rush Hea Jul 1, 2022
Operational/Managerial ControlChief Financial Officer,Rush Hea Jul 1, 2022

Owners & managing parties with NPI records 3

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

Facilities with the same owner 75

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

  • Kemper Cah, Inc.

    dba Ochsner Stennis Hospital Swing Bed

    • Medicare Defined Swing Bed Hospital Unit
    • De Kalb, MS
    • NPI 1518260322

    Ochsner Clinic Foundation, Rush Health Systems Inc

    CMS ownership
  • Kemper Cah, Inc.

    dba Ochsner Stennis Hospital

    • Critical Access Hospital
    • De Kalb, MS
    • NPI 1679875645

    Ochsner Clinic Foundation, Rush Health Systems Inc

    CMS ownership
  • Kemper Cah, Inc.

    dba Ochsner Health Center-Dekalb

    • Rural Health Clinic/Center
    • De Kalb, MS
    • NPI 1912348616

    Ochsner Clinic Foundation, Rush Health Systems Inc

    CMS ownership
  • Kemper, Cah, Inc.

    dba Ochsner Health Center-Marion

    • Rural Health Clinic/Center
    • Marion, MS
    • NPI 1669812962

    Rush Health Systems Inc

    CMS ownership
  • Laird Hospital, Inc

    dba Ochsner Health Center- Collinsville

    • Rural Health Clinic/Center
    • Collinsville, MS
    • NPI 1073959375

    Ochsner Clinic Foundation, Rush Health Systems Inc

    CMS ownership
  • Laird Hospital, Inc.

    dba Ochsner Laird Hospital Swing Bed

    • Medicare Defined Swing Bed Hospital Unit
    • Union, MS
    • NPI 1033176276

    Ochsner Clinic Foundation, Rush Health Systems Inc

    CMS ownership
  • Laird Hospital, Inc.

    dba Ochsner Health Center- Decatur

    • Rural Health Clinic/Center
    • Decatur, MS
    • NPI 1033460878

    Ochsner Clinic Foundation, Rush Health Systems Inc

    CMS ownership
  • Laird Hospital, Inc.

    dba Ochsner Childrens Health Center

    • Rural Health Clinic/Center
    • Meridian, MS
    • NPI 1114330347

    Ochsner Clinic Foundation, Rush Health Systems Inc

    CMS ownership
  • Laird Hospital, Inc.

    dba Ochsner Health Center- Newton

    • Rural Health Clinic/Center
    • Newton, MS
    • NPI 1194323170

    Ochsner Clinic Foundation, Rush Health Systems Inc

    CMS ownership
  • Laird Hospital, Inc.

    dba Ochsner Health Center- Philadelphia

    • Rural Health Clinic/Center
    • Philadelphia, MS
    • NPI 1275873572

    Ochsner Clinic Foundation, Rush Health Systems Inc

    CMS ownership
  • Laird Hospital, Inc.

    dba Ochsner Laird Hospital

    • Critical Access Hospital
    • Union, MS
    • NPI 1518924752

    Ochsner Clinic Foundation, Rush Health Systems Inc

    CMS ownership
  • Laird Hospital, Inc.

    dba Ochsner Health Center- Union

    • Rural Health Clinic/Center
    • Union, MS
    • NPI 1851643928

    Ochsner Clinic Foundation, Rush Health Systems Inc

    CMS ownership
View all 75

Practitioners & affiliated clinicians

Practitioners 91

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 91

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1275879314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT. 3019 P O BOX 1000",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381483019",
            "telephone_number": "601-213-3010",
            "fax_number": "601-213-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4331 HIGHWAY 39 N",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393011007",
            "telephone_number": "601-484-6180",
            "fax_number": "601-482-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMPER CAH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "LARKIN",
        "authorized_official_title_or_position": "REGIONAL CEO",
        "authorized_official_telephone_number": "601-703-9614"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009015196",
            "state": "MS"
        }
    ],
    "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": [
        {
            "organization_name": "Ochsner Health Center-Hwy 39",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.