Organization Active NPI

Dequincy Memorial Hospital

  • Critical Access Hospital
  • Dequincy, LA
National Provider Identifier
1285828434
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
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, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
DEQUINCY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1796841MedicaidLA

National Provider Directory

National Provider Directory
Part of
Dequincy Memorial Hospi

Interoperability endpoints

  • FHIR API: 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

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.

Verify at the official NPI Registry.