Lallie Kemp Medical Center
Organization Active NPI General Acute Care Hospital · Independence, LA
NPI 1366767774 · NPPES record last updated Mar 30, 2010
Key facts
- NPI
- 1366767774
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- LALLIE KEMP MEDICAL CENTER
- Practice address
- 52579 Highway 51 S
Independence, LA 70443-2231 - Phone
- (985) 878-9421
- Fax
- (985) 878-1263
- NPI assigned
- Mar 30, 2010
- Organization subpart
- No
Authorized official
- Name
- Chad Thompson
- Title
- Cfo
- Phone
- (985) 878-9421
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 2
Related certifications (CCN) 1
Affiliated clinicians 72
-
Murtuza J Ali, M.D.
-
Jayagopal Appurao, M.D.
-
David Isaac Beran, D.O.
-
Letonna Bradford, MD
-
Jennifer May Cantrell, DNP, APRN, FNP-C
-
Joseph Paul Dileo, DPM
-
Deepak S. Dixit, M.D.
-
Brisco Forrest Dugas, M.D.
-
Aashish Gupta, M.D.
-
Jay W Heintz, MD
-
James C Hess, MD
-
Neeraj Jain, MD
-
Gregory Paul Lanata, DPM
-
Paul A Lelorier, MD
-
Dorothy A Lewis, M. D.
Medicare Care Compare: Hospital
- Listed as
- Lallie Kemp Medical Center
- Type
- Critical Access Hospitals
- Ownership
- Government - State
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Hospital certification: CCN 191321
- Legal name
- LALLIE KEMP MEDICAL CTR
- Doing business as
- LALLIE KEMP REGIONAL MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Jul 1, 2005
- Last certification
- Oct 10, 2025
- Beds
- 24
- Ownership / control type
- State
- Organization structure
- Other · Non-profit
- Enrollment address
- 52579 Highway 51 South
Independence, LA 70443-2231
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Louisiana State University Health Sciences Center - Health Care Servic |
Operational/Managerial Control | Jul 16, 2007 | |
| Michael Carter |
W-2 Managing Employee | Sep 21, 2007 | |
| Chad Thompson |
W-2 Managing Employee | Sep 21, 2007 | |
| Lanette Buie |
Corporate Officer |
Sep 4, 2013 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110408000651 | LA | Part a Provider - Critical Access Hospital | 0345238903 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Independence, LA |
National Provider Directory
- Tax ID family
- Lallie Kemp Commcare
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
52579 Highway 51 S
Independence, LA 70443-2231
Mailing address
52579 Highway 51 S
Independence, LA 70443-2231
Phone (985) 878-9421
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1940046 | Medicaid | LA |
Other names
- Lallie Kemp CommCare
Other providers in Independence, LA
- Terry Randall Jones
- Ryan Brandon Joseph
- Debra D Khalid-Abasi
- L a Homecare 1 Inc
- L a Homecare 1 Inc
- Lallie Kemp Medical Ctr
- Lallie Kemp Medical Ctr
- Lallie Kemp Medical Ctr
- Lallie Kemp Medical Ctr
- Carl Phillip Lamprecht
All providers in Independence, LA · General Acute Care Hospital in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.