NPIMap

Organization Active NPI

West Carroll Health Systems LLC

  • General Acute Care Hospital
  • Oak Grove, LA
National Provider Identifier
1386700888
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
WEST CARROLL HEALTH SYSTEMS LLC
Practice address
706 Ross St
Oak Grove, LA 71263-9798
Phone
(318) 428-3237
Fax
(318) 428-6180
NPI assigned
Dec 29, 2006
Last updated
Dec 12, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
WEST CARROLL HEALTH SYSTEMS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
Raymond R Morris
Title
Administrator
Phone
(318) 428-3237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

706 Ross St
Oak Grove, LA 71263-9798

Mailing address

706 Ross St
Oak Grove, LA 71263-9798
Phone (318) 428-3237

Other identifiers 2

IdentifierTypeStateIssuer
1795968MedicaidLA
136960002MedicaidAR

Other names 1

  • WCHS ER PHYSICIANS Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040402000229 LA Part B Supplier - Clinic/Group Practice 5294627774 Receives reassigned benefits from 41 practitioners
Practice locations: Oak Grove, LA

Other NPIs with the same Medicare PAC ID 7

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

National Provider Directory

National Provider Directory
Tax ID family
West Carroll Memorial Hospital9 organizations share this tax ID, including this one
Part of
West Carroll Memorial Hospital

Other organizations with this tax ID 8

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

Ownership & related parties

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
West Carroll Memorial HospitalOak Grove, LA, CCN 19Z327 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2002
West Carroll Home HealthOak Grove, LA, CCN 197135 Home health agency 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Dec 1, 2002
Dec 1, 2002
Lake Providence Medical ClinicLake Providence, LA, CCN 193999 Rural health clinic 5% Or Greater Direct Ownership Interest Dec 1, 2002
Oak Grove Medical ClinicOak Grove, LA, CCN 193984 Rural health clinic 5% Or Greater Direct Ownership Interest Dec 1, 2002
West Carroll Medical ClinicOak Grove, LA, CCN 193992 Rural health clinic 5% Or Greater Direct Ownership Interest Dec 1, 2002
Community Medical ClinicOak Grove, LA, CCN 193409 Rural health clinic 5% Or Greater Direct Ownership Interest Dec 1, 2002

Owned or controlled facilities with NPI records 6

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

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1386700888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 ROSS ST",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712639798",
            "telephone_number": "318-428-3237",
            "fax_number": "318-428-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 ROSS ST",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712639798",
            "telephone_number": "318-428-3237",
            "fax_number": "318-428-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CARROLL HEALTH SYSTEMS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST CARROLL HEALTH SYSTEMS LLC",
        "enumeration_date": "2006-12-29",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-428-3237"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1795968",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136960002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WCHS ER PHYSICIANS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oak Grove, LA

Sources for this page

Verify at the official NPI Registry.