Organization Active NPI

Doctors' Hospital at Deer Creek, LLC

  • General Acute Care Hospital
  • Leesville, LA
National Provider Identifier
1407046246
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
DOCTORS' HOSPITAL AT DEER CREEK, LLC
Practice address
815 South 10TH Street
Leesville, LA 71446
Phone
(504) 274-1102
Fax
(504) 832-2116
NPI assigned
Jul 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Authorized official

Name
Kim Smith
Title
Business Office Director
Phone
(337) 419-0735

Specialties & licenses 1

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

Addresses

Primary practice location

815 South 10TH Street
Leesville, LA 71446

Mailing address

815 S 10TH St
Leesville, LA 71446-4611
Phone (337) 392-5088

Other identifiers 2

IdentifierTypeStateIssuer
1702315MedicaidLA
61462OtherLABCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1407046246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S 10TH ST",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464611",
            "telephone_number": "337-392-5088",
            "fax_number": "337-238-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 SOUTH 10TH STREET",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "71446",
            "telephone_number": "504-274-1102",
            "fax_number": "504-832-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS' HOSPITAL AT DEER CREEK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "337-419-0735"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1702315",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "61462",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.