Active NPI
Dequincy Memorial Hospital
- Critical Access Hospital
- Dequincy, LA
National Provider Identifier
1285828434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- Legal business name
- DEQUINCY MEMORIAL HOSPITAL
- Practice address
- 110 W 4TH St
Dequincy, LA 70633-3508 - Phone
- (337) 786-1200
- Fax
- (337) 786-1219
- NPI assigned
- Aug 30, 2007
- Last updated
- Aug 5, 2008
- Organization subpart
- Yes
- Parent organization
- DEQUINCY MEMORIAL HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Brenda B Cooley
- Title
- Insurance Manager
- Phone
- (337) 786-1200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | NU | Primary |
Addresses
Primary practice location
110 W 4TH St
Dequincy, LA 70633-3508
Mailing address
110 West Fourth Street
Dequincy, LA 70633-1166
Phone (337) 786-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1796841 | Medicaid | LA |
National Provider Directory
National Provider Directory- Part of
- Dequincy Memorial Hospi
Interoperability endpoints
- https://api.platform.athenahealth.com/24793/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217894400000",
"number": "1285828434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 WEST FOURTH STREET",
"city": "DEQUINCY",
"state": "LA",
"postal_code": "706331166",
"telephone_number": "337-786-1200",
"fax_number": "337-786-1219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W 4TH ST",
"city": "DEQUINCY",
"state": "LA",
"postal_code": "706333508",
"telephone_number": "337-786-1200",
"fax_number": "337-786-1219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEQUINCY MEMORIAL HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DEQUINCY MEMORIAL HOSPITAL",
"enumeration_date": "2007-08-30",
"last_updated": "2008-08-05",
"status": "A",
"authorized_official_last_name": "COOLEY",
"authorized_official_first_name": "BRENDA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "INSURANCE MANAGER",
"authorized_official_telephone_number": "337-786-1200",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1796841",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dequincy, LA
- CLHG-Dequincy, LLC (Dequincy Memorial Hospital)
- Darryl V. Bauer DC a Professional Chiropractic Corporation
- Dequincy Home Health Inc
- Dequincy Home Health Inc
- Dequincy Medical Associates (Chadha Medical Clinic)
- Dequincy Memorial Hospital Inc
- Dequincy Memorial Hospital,Inc
- Dequincy Memorial Hospital,Inc
- Fuselier Family Clinic
- Megan Berry Gallien, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.