NPIMap

Organization Active NPI

Hospital Service Dist. No. 1 of the Parish of St. Charles, State of la

  • General Acute Care Hospital
  • Luling, LA
National Provider Identifier
1295716637
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
HOSPITAL SERVICE DIST. NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LA
Practice address
1057 Paul Maillard Rd
Luling, LA 70070
Phone
(985) 785-6242
Fax
(985) 785-3623
NPI assigned
Nov 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Austin K. Reeder
Title
Ceo
Phone
(985) 785-3643

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 151 LA
General Acute Care Hospital 282N00000X LA Primary
General Acute Care Hospital 282N00000X 151 LA
Ambulance 341600000X 151 LA

Addresses

Primary practice location

1057 Paul Maillard Rd
Luling, LA 70070

Mailing address

PO Box 87
Luling, LA 70070-0087
Phone (985) 785-6242

Other identifiers 1

IdentifierTypeStateIssuer
1720186MedicaidLA

Other names 1

  • St. Charles Parish Hospital 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 LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100811000093 LA Part A Provider - Hospital 9436054814 Practice locations: Destrehan, LA; Luling, LA

Hospital certification: CCN 190079

Legal name
HOSPITAL SERVICE DIST. NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LA
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 7, 1966
Last certification
Jul 12, 2024
Beds
49
Ownership / control type
Hospital district or authority
Organization structure
GovernmentNon-profit
Enrollment address
1057 Paul Maillard Rd
Luling, LA 70070-4349
Main/Primary Hospital Location
Hospital subgroups
Acute care

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

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
St Charles Parish HospitalCCN 190079
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
St. Charles Operational Management Company LLC Organization, New Orleans, LA LLC Operational/Managerial Control Sep 1, 2014
Other Sep 1, 2014 100%
Keith a Dacus Individual Corporate OfficerChief Executive Officer Feb 22, 2021
W-2 Managing EmployeeChief Executive Officer Feb 22, 2021
Operational/Managerial ControlChief Executive Officer Feb 22, 2021

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
St Charles Parish HospitalLuling, LA, CCN 19S079 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 7, 1966

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 268

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

View all 268

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1295716637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700700087",
            "telephone_number": "985-785-6242",
            "fax_number": "985-785-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 PAUL MAILLARD RD",
            "city": "LULING",
            "state": "LA",
            "postal_code": "70070",
            "telephone_number": "985-785-6242",
            "fax_number": "985-785-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL SERVICE DIST. NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "REEDER",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-785-3643"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "LA",
            "license": "151",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "LA",
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "LA",
            "license": "151",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "LA",
            "license": "151",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720186",
            "state": "LA"
        }
    ],
    "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": "St. Charles Parish Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Charles Parish Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Luling, LA

Sources for this page

Verify at the official NPI Registry.