NPIMap

Organization Active NPI

Acadia-St. Landry Hospital Service District

Doing business as Acadia-St. Landry Hospital

  • Critical Access Hospital
  • Church Point, LA
National Provider Identifier
1376540153
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
106 Issued in LA
Legal business name
ACADIA-ST. LANDRY HOSPITAL SERVICE DISTRICT
Doing business as
Acadia-St. Landry Hospital
Practice address
810 S Broadway St
Church Point, LA 70525-4402
Phone
(337) 684-5435
Fax
(337) 684-5449
NPI assigned
Jul 7, 2005
Last updated
Jul 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Authorized official

Name
Mr. Michael J Lejune
Title
Ceo/Administrator
Phone
(337) 684-4277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 106 LA Primary

Addresses

Primary practice location

810 S Broadway St
Church Point, LA 70525-4402

Mailing address

810 S Broadway St
Church Point, LA 70525-4402

Other names 1

  • ACADIA-ST. LANDRY HOSPITAL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100604000559 LA Part A Provider - Critical Access Hospital 3476458092 Receives reassigned benefits from 11 practitioners
Practice locations: Church Point, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376540153. Details of each certification follow.

Hospital certification: CCN 191319

Legal name
ACADIA-ST. LANDRY HOSPITAL SERVICE DISTRICT
Doing business as
ACADIA ST. LANDRY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Nov 9, 2004
Last certification
Jul 28, 2021
Beds
33
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
810 S Broadway St
Church Point, LA 70525-4402
Hospital Swing-Bed Unit

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).

Care Compare: Hospital

Medicare Care Compare
Listed as
Acadia St LandryCCN 191319 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Acadia St Landry Rural9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Tiffany Young Individual W-2 Managing EmployeeController Feb 5, 2024
Operational/Managerial ControlController Feb 5, 2024
Acadia-St. Landry Hospital Service District Organization, Church Point, LA Operational/Managerial Control Jun 23, 2016 100%
Dawn M White Individual Corporate DirectorDirector of Human Resources Oct 10, 2022
W-2 Managing EmployeeDirector of Human Resources Oct 10, 2022
Michael Lejeune Individual Corporate OfficerCeo/Administrator Jul 25, 2022
W-2 Managing EmployeeCeo/Administrator Jul 25, 2022

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 3

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

FacilityTypeRoleSince
Acadia St. Landry HospitalChurch Point, LA, CCN 19Z319 Hospital Operational/Managerial Control Nov 14, 2005
Acadia St. Landry HospitalChurch Point, LA, CCN 19M319 Hospital Operational/Managerial Control (100%) Jul 25, 2016
Acadia-St. Landry Hospital Service DistrictChurch Point, LA, CCN 198528 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 18, 2020
Jun 23, 2016

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 11

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.

Affiliated clinicians 51

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1376540153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 S BROADWAY ST",
            "city": "CHURCH POINT",
            "state": "LA",
            "postal_code": "705254402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 S BROADWAY ST",
            "city": "CHURCH POINT",
            "state": "LA",
            "postal_code": "705254402",
            "telephone_number": "337-684-5435",
            "fax_number": "337-684-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIA-ST. LANDRY HOSPITAL SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "LEJUNE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "337-684-4277",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "LA",
            "license": "106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACADIA-ST. LANDRY HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ACADIA-ST. LANDRY HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Church Point, LA

Sources for this page

Verify at the official NPI Registry.