Active NPI
Homer Memorial Hospital
- Psychiatric Hospital Unit
- Homer, LA
National Provider Identifier
1295833713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- Legal business name
- HOMER MEMORIAL HOSPITAL
- Practice address
- 620 E College St
Homer, LA 71040-3202 - Phone
- (318) 927-2024
- Fax
- (318) 927-3158
- NPI assigned
- Sep 20, 2006
- Organization subpart
- Yes
- Parent organization
- HOMER 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. Kristie Copeland, MSN
- Title
- Cno
- Phone
- (318) 927-2024
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | Primary |
Addresses
Primary practice location
620 E College St
Homer, LA 71040-3202
Mailing address
620 E College St
Homer, LA 71040-3202
Phone (318) 927-2024
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1705802 | Medicaid | LA |
Other names 1
- Claiborne Memorial Medical Center
National Provider Directory
National Provider Directory- Part of
- Homer Memorial Hospital
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492560000000",
"number": "1295833713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 E COLLEGE ST",
"city": "HOMER",
"state": "LA",
"postal_code": "710403202",
"telephone_number": "318-927-2024",
"fax_number": "318-927-3158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 E COLLEGE ST",
"city": "HOMER",
"state": "LA",
"postal_code": "710403202",
"telephone_number": "318-927-2024",
"fax_number": "318-927-3158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMER MEMORIAL HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HOMER MEMORIAL HOSPITAL",
"enumeration_date": "2006-09-20",
"last_updated": "2017-04-19",
"status": "A",
"authorized_official_last_name": "COPELAND",
"authorized_official_first_name": "KRISTIE",
"authorized_official_title_or_position": "CNO",
"authorized_official_telephone_number": "318-927-2024",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSN"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1705802",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Claiborne Memorial Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Homer, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.