NPIMap

Organization Active NPI

Jackson Parish Hospital

  • Rural Health Clinic/Center
  • Chatham, LA
National Provider Identifier
1295965564
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
230 RHC-3 Issued in LA
Legal business name
JACKSON PARISH HOSPITAL
Practice address
804 Chatham Avenue
Chatham, LA 71226
Phone
(318) 249-3200
Fax
(318) 249-3204
NPI assigned
Jul 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
John Morgan
Title
Ceo
Phone
(318) 395-4223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 230 RHC-3 LA Primary

Addresses

Primary practice location

804 Chatham Avenue
Chatham, LA 71226

Mailing address

165 Beech Springs Rd
Jonesboro, LA 71251-2013
Phone (318) 395-4435

Other identifiers 2

IdentifierTypeStateIssuer
2338765MedicaidLA
193483OtherLAMEDICARE NUMBER

Other names 1

  • Chatham Medical Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101203001217 LA Part A Provider - Rural Health Clinic 9335048081 Practice locations: Chatham, LA

Rural health clinic certification: CCN 193483

Legal name
JACKSON PARISH HOSPITAL
Doing business as
CHATHAM MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 19, 2011
Last certification
Apr 12, 2023
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Enrollment address
804 Chatham Ave
Chatham, LA 71226-8917
Related CCNs
191317

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

Other NPIs with the same Medicare PAC ID 4

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2023657Chatham Medical Clinic804 Chatham Ave, Chatham, LA 71226Certificate of waiverApr 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Jackson Parish Home HLT7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Jason Thomas Individual Corporate OfficerCoo Apr 1, 2019
W-2 Managing EmployeeCoo Apr 1, 2019
Operational/Managerial ControlCoo Apr 1, 2019
Jackson Parish Hospital Organization, Chatham, LA Non-profit 5% Or Greater Direct Ownership Interest Oct 1, 2010
John Morgan Individual Corporate OfficerCeo Apr 1, 2019
W-2 Managing EmployeeCeo Apr 1, 2019
Operational/Managerial ControlCeo Apr 1, 2019

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Jackson Parish Hospital Swing Bed UnitJonesboro, LA, CCN 19Z317 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 1966
Jan 1, 1966
Jackson Parish HospitalJonesboro, LA, CCN 191317 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jan 1, 1966
Jan 1, 1966
Jackson Parish Hospital Family Care ClinicJonesboro, LA, CCN 193457 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 May 1, 2003
May 1, 2003
Jonesboro Family Care ClinicJonesboro, LA, CCN 193463 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Dec 1, 2003
Mar 1, 2005

Owned or controlled facilities with NPI records 4

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1295965564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 BEECH SPRINGS RD",
            "city": "JONESBORO",
            "state": "LA",
            "postal_code": "712512013",
            "telephone_number": "318-395-4435",
            "fax_number": "318-395-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 CHATHAM AVENUE",
            "city": "CHATHAM",
            "state": "LA",
            "postal_code": "71226",
            "telephone_number": "318-249-3200",
            "fax_number": "318-249-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON PARISH HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-395-4223"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "LA",
            "license": "230 RHC-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2338765",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "193483",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chatham Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chatham, LA

Sources for this page

Verify at the official NPI Registry.