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Acadia-St. Landry Hospital Service District

Organization Active NPI Critical Access Hospital · Church Point, LA

NPI 1376540153 · NPPES record last updated Jul 5, 2023

Key facts

NPI
1376540153
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
106 (LA)
Legal business name
ACADIA-ST. LANDRY HOSPITAL SERVICE DISTRICT
Practice address
810 S Broadway St
Church Point, LA 70525-4402
Phone
(337) 684-5435
Fax
(337) 684-5449
NPI assigned
Jul 7, 2005
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 4

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

Owned or controlled facilities with NPI records 3

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

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) 8

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

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

Facilities with the same owner 3

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

Practitioners 14

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

Affiliated clinicians 51

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

View all 51

Medicare Care Compare: Hospital

Listed as
Acadia St Landry CCN 191319
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

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
Other · Non-profit
Enrollment address
810 S Broadway St
Church Point, LA 70525-4402
Hospital Swing-Bed Unit

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 Employee
Controller		 Feb 5, 2024
Operational/Managerial Control
Controller		 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 Director
Director of Human Resources		 Oct 10, 2022
W-2 Managing Employee
Director of Human Resources		 Oct 10, 2022
Michael Lejeune
Individual 		Corporate Officer
Ceo/Administrator		 Jul 25, 2022
W-2 Managing Employee
Ceo/Administrator		 Jul 25, 2022

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

Medicare enrollment records

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

National Provider Directory

Tax ID family
Acadia St Landry Rural (9 organizations share this tax ID)

Specialties & licenses

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

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 identifiers

IdentifierTypeStateIssuer
60686OtherLAACUTE
1734314MedicaidLA
1416002MedicaidLA
43906OtherLAACUTE

Other names

  • ACADIA-ST. LANDRY HOSPITAL Doing business as

Other providers in Church Point, LA

All providers in Church Point, LA · Critical Access Hospital in Louisiana

Sources for this page

Verify at the official NPI Registry.