NPIMap

Organization Active NPI

Abbeville General Hospital

  • Clinic/Center
  • Abbeville, LA
National Provider Identifier
1285779363
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ABBEVILLE GENERAL HOSPITAL
Practice address
118 N Hospital Dr
Abbeville, LA 70510-4039
Phone
(337) 898-6516
Fax
(337) 898-9695
NPI assigned
Feb 20, 2007
Last updated
Nov 10, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
ABBEVILLE GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Authorized official

Name
Ray Landry
Title
Ceo
Phone
(337) 893-5466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

118 N Hospital Dr
Abbeville, LA 70510-4039

Mailing address

118 N Hospital Dr
Abbeville, LA 70510-4039
Phone (337) 898-6525

Other identifiers 2

IdentifierTypeStateIssuer
1753742MedicaidLA
5CT52OtherLAMEDICARE PTAN #

Other names 1

  • Abbeville General Hospital HB Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060217000566 LA Part B Supplier - Clinic/Group Practice 8325933872 Receives reassigned benefits from 67 practitioners
Practice locations: Abbeville, LA

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Part of
Abbeville General Hospi

Locations

2625 North Dr
Abbeville, LA 70510
Phone (318) 893-0011

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Erath-Delcambre Community Care ClinicErath, LA, CCN 193490 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 1, 1966

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 73

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 73

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1285779363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N HOSPITAL DR",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705104039",
            "telephone_number": "337-898-6525",
            "fax_number": "337-898-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N HOSPITAL DR",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705104039",
            "telephone_number": "337-898-6516",
            "fax_number": "337-898-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBEVILLE GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABBEVILLE GENERAL HOSPITAL",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-893-5466"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1753742",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN #",
            "identifier": "5CT52",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abbeville General Hospital HB",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Abbeville General Hospital HB",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Abbeville, LA

Sources for this page

Verify at the official NPI Registry.