NPIMap

Organization Active NPI

CLHG-Ville Platte LLC

Doing business as Mercy Regional Medical Center

  • General Acute Care Hospital
  • Ville Platte, LA
National Provider Identifier
1407947336
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
CLHG-VILLE PLATTE LLC
Doing business as
Mercy Regional Medical Center
Practice address
800 E Main St
Ville Platte, LA 70586-4618
Phone
(337) 363-9410
Fax
(337) 363-9488
NPI assigned
Sep 27, 2006
Last updated
May 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Calvin Green
Title
Authorized Official/Officer
Phone
(337) 278-6964

Specialties & licenses 1

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

Addresses

Primary practice location

800 E Main St
Ville Platte, LA 70586-4618

Mailing address

800 E Main St
Ville Platte, LA 70586-4618
Phone (337) 363-9410

Other identifiers 3

IdentifierTypeStateIssuer
1700525MedicaidLA
60416OtherLABLUE CROSS
621868757705860000OtherLATRICARE

Other names 1

  • Mercy Regional Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180824002490 LA Part A Provider - Hospital 4486903309 Practice locations: Ville Platte, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407947336. Details of each certification follow.

Hospital certification: CCN 190167

Legal name
CLHG-VILLE PLATTE LLC
Doing business as
MERCY REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Mar 20, 1974
Last certification
Nov 24, 2022
Beds
49
Ownership / control type
Private (for profit)
Most recent change of ownership
Aug 1, 2018 (4 total)
Organization structure
LLCProprietary
Enrollment address
800 E Main St
Ville Platte, LA 70586-4618
Main/Primary Hospital Location
Hospital subgroups
Acute care

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

Other NPIs with the same Medicare PAC ID 8

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Mercy Regional Medical CenterCCN 190167 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
CLHG-Ville Platte LLC9 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.

Locations

1012 Tom Dr
Ville Platte, LA 70586
Phone (337) 360-9711

417 E Lincoln Rd
Ville Platte, LA 70586
Phone (337) 363-7744

504 Jack Miller Rd
Ste 5
Ville Platte, LA 70586
Phone (337) 363-0055

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Rock Bordelon Individual 5% Or Greater Direct Ownership Interest Mar 8, 2018 80%
Corporate OfficerCeo Mar 8, 2018
Allegiance Health Management Inc Organization, Bossier City, LA Corporation Limited Partnership Interest Aug 1, 2018
Operational/Managerial Control Aug 1, 2018
Robin Savoy Individual Limited Partnership InterestCeo Mar 8, 2018
W-2 Managing EmployeeBusiness Office Director Mar 8, 2018 80%
Kevin Ardoin Individual Corporate OfficerCeo Jan 1, 2026 100%
W-2 Managing EmployeeCeo Jan 1, 2026 100%
Cameron Investments LLC Organization, Bossier City, LA LLC 5% Or Greater Direct Ownership Interest Aug 1, 2018 16%

Facilities with the same owner 53

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

View all 53

Practitioners & affiliated clinicians

Practitioners 6

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 109

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

View all 109

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1407947336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E MAIN ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705864618",
            "telephone_number": "337-363-9410",
            "fax_number": "337-363-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E MAIN ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705864618",
            "telephone_number": "337-363-9410",
            "fax_number": "337-363-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLHG-VILLE PLATTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OFFICER",
        "authorized_official_telephone_number": "337-278-6964"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700525",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "60416",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "621868757705860000",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ville Platte, LA

Sources for this page

Verify at the official NPI Registry.