Organization Active NPI

Hospital Service District No. 1 of Iberia Parish

  • Psychiatric Hospital Unit
  • New Iberia, LA
National Provider Identifier
1447604475
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
HOSPITAL SERVICE DISTRICT NO. 1 OF IBERIA PARISH
Practice address
600 N Lewis St
New Iberia, LA 70563-2043
Phone
(337) 365-7311
NPI assigned
Apr 15, 2016
Last updated
Oct 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Authorized official

Name
Dionne Viator
Title
Cfo/Interim Ceo
Phone
(337) 374-7107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

600 N Lewis St
New Iberia, LA 70563-2043

Mailing address

PO Box 13338
New Iberia, LA 70562-3338
Phone (337) 374-7104

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160921000467 LA Part A Provider - Hospital 4688659188 Practice locations: New Iberia, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447604475. Details of each certification follow.

Hospital certification: CCN 19S054

Legal name
HOSPITAL SERVICE DISTRICT NO. 1 OF IBERIA PARISH
Doing business as
IBERIA MEDICAL CENTER
Organization structure
OtherNon-profit
Enrollment address
600 N Lewis St
New Iberia, LA 70563-2043
Hospital Psychiatric Unit
Hospital subgroups
General, Acute care, Psychiatric 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).

National Provider Directory

National Provider Directory
Tax ID family
Jeanerette Rural HLTH C8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Frederick Metz Individual Corporate DirectorBoard Member Mar 1, 2012
Lawrence Hensgens Individual Corporate DirectorBoard Member Mar 1, 2012
Sara Espinosa Individual W-2 Managing EmployeePFS Supervisor Oct 31, 2019
Kurt B Obrien Individual Corporate DirectorBoard Member Apr 1, 2016
Hospital Service District No. 1 of Iberia Parish Organization, New Iberia, LA Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Cathy Reaves Individual Corporate DirectorBoard Member Apr 10, 2014
David C Benson Individual Corporate DirectorBoard Member Dec 27, 2018
Nanci Segura Individual W-2 Managing EmployeeRevenue Cycle Manager Oct 31, 2019
Dionne Viator Individual Corporate OfficerCfo/Interim Ceo Jul 18, 2016
W-2 Managing EmployeeCfo/Interim Ceo Jul 18, 2016
Brock Jude Romero Individual Corporate DirectorBoard Member Apr 20, 2017
Amy Langlinais Individual Corporate Officer Apr 25, 2022
Burton E Cestia Individual Corporate DirectorBoard Member Mar 1, 2012
Leonard Minvielle Individual Corporate DirectorBoard Member Nov 25, 2010

Owners & managing parties with NPI records 7

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
Iberia Medical CenterNew Iberia, LA, CCN 19T054 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Acadian Homecare of New Iberia LLCNew Iberia, LA, CCN 197718 Home health agency 5% Or Greater Direct Ownership Interest (25%) Jan 1, 2018
Jeanerette Rural Health ClinicJeanerette, LA, CCN 193404 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966

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 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1447604475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13338",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705623338",
            "telephone_number": "337-374-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N LEWIS ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632043",
            "telephone_number": "337-365-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL SERVICE DISTRICT NO. 1 OF IBERIA PARISH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "VIATOR",
        "authorized_official_first_name": "DIONNE",
        "authorized_official_title_or_position": "CFO/INTERIM CEO",
        "authorized_official_telephone_number": "337-374-7107"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.