NPIMap

Organization Active NPI

St. James Parish Hosp. Serv. Dist.

  • Critical Access Hospital
  • Lutcher, LA
National Provider Identifier
1295868065
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
164 Issued in LA
Legal business name
ST. JAMES PARISH HOSP. SERV. DIST.
Practice address
1645 Lutcher Ave
Lutcher, LA 70071-5150
Phone
(225) 869-5512
Fax
(225) 869-5271
NPI assigned
Mar 13, 2007
Last updated
Jun 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Mrs. Tracy L George
Title
Chief Financial Officer
Phone
(225) 746-2901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 164 LA Primary

Addresses

Primary practice location

1645 Lutcher Ave
Lutcher, LA 70071-5150

Mailing address

1645 Lutcher Ave
Lutcher, LA 70071-5150
Phone (225) 869-5512

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031208000748 LA Part B Supplier - Clinic/Group Practice 3476459850 Receives reassigned benefits from 13 practitioners
6 other NPIs on this enrollment
Practice locations: Lutcher, LA; Vacherie, LA

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
St James Parish Hosp SE6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

501 Rue de Sante
Ste 35
La Place, LA 70068

22080 Highway 20
Vacherie, LA 70090
Phone (225) 265-3061

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
St. James Parish HospitalLutcher, LA, CCN 191305 Hospital Operational/Managerial Control Apr 15, 2008
St. James Parish Hosp Serv DistLutcher, LA, CCN 19Z305 Hospital Operational/Managerial Control Apr 15, 2008

Owned or controlled facilities with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1295868065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 LUTCHER AVE",
            "city": "LUTCHER",
            "state": "LA",
            "postal_code": "700715150",
            "telephone_number": "225-869-5512",
            "fax_number": "225-869-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 LUTCHER AVE",
            "city": "LUTCHER",
            "state": "LA",
            "postal_code": "700715150",
            "telephone_number": "225-869-5512",
            "fax_number": "225-869-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JAMES PARISH HOSP. SERV. DIST.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "225-746-2901",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "LA",
            "license": "164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutcher, LA

Sources for this page

Verify at the official NPI Registry.