NPIMap

St. James Parish Hosp. Serv. Dist.

Organization Active NPI Critical Access Hospital · Lutcher, LA

NPI 1295868065 · NPPES record last updated Jun 23, 2010

Key facts

NPI
1295868065
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
164 (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
Organization subpart
No

Authorized official

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

Owned or controlled facilities with NPI records 2

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

Other NPIs on the same Medicare enrollment 6

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

Other NPIs with the same Medicare PAC ID 4

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

Corporate family (same tax ID) 5

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

Practitioners 16

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

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 Hospital
Lutcher, LA · CCN 191305		 Hospital Operational/Managerial Control Apr 15, 2008
St. James Parish Hosp Serv Dist
Lutcher, LA · CCN 19Z305		 Hospital Operational/Managerial Control Apr 15, 2008

Medicare enrollment records

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

National Provider Directory

Tax ID family
St James Parish Hosp SE (6 organizations share this tax ID)

Locations

501 Rue de Sante
Ste 35
La Place, LA 70068

1645 Lutcher Ave
Ste 1500
Lutcher, LA 70071

Specialties & licenses

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

Addresses

Primary practice location

1645 Lutcher Ave
Lutcher, LA 70071-5150

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
1796697MedicaidLA
04727OtherLABLUE CROSS PHYSICIAN GRP

Other providers in Lutcher, LA

All providers in Lutcher, LA · Critical Access Hospital in Louisiana

Sources for this page

Verify at the official NPI Registry.