NPIMap

Organization Active NPI

The Hospital Service District of West Feliciana Parish Louisiana

  • Rural Health Clinic/Center
  • Saint Francisville, LA
National Provider Identifier
1467007807
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
THE HOSPITAL SERVICE DISTRICT OF WEST FELICIANA PARISH LOUISIANA
Practice address
5266 Commerce St BLDG a
Saint Francisville, LA 70775-4409
Phone
(225) 635-2441
Fax
(225) 635-2442
NPI assigned
Aug 2, 2019
Organization subpart
Yes
Parent organization
THE HOSPITAL SERVICE DISTRICT OF WEST FELICIANA PARISH LOUISIANAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Authorized official

Name
Mr. Samuel S McCord IV, MHA
Title
Practice Manager
Phone
(225) 635-2423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

5266 Commerce St BLDG a
Saint Francisville, LA 70775-4409

Mailing address

PO Box 368
Saint Francisville, LA 70775-0368
Phone (225) 635-2441

Other identifiers 1

IdentifierTypeStateIssuer
1734811MedicaidLA

Other names 1

  • St. Francis Cypress Rural Health Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191031002780 LA Part A Provider - Rural Health Clinic 3173512548 Practice locations: Saint Francisville, LA

Rural health clinic certification: CCN 198525

Legal name
THE HOSPITAL SERVICE DISTRICT OF WEST FELICIANA PARISH LOUISIANA
Doing business as
ST FRANCIS CYPRESS RURAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 6, 2020
Last certification
Jul 6, 2023
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Enrollment address
5266 Commerce St
BLDG a
Saint Francisville, LA 70775-4409
Related CCNs
191306

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

Other NPIs with the same Medicare PAC ID 3

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2159640St Francis Cypress Rural Health Clinic5266 Commerce Street Building a, Saint Francisville, LA 70775Certificate of waiverDec 20, 2026

National Provider Directory

National Provider Directory
Tax ID family
West Feliciana Parish Hospital8 organizations share this tax ID, including this one
Part of
West Feliciana Parish Hospital

Other organizations with this tax ID 7

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

Locations

5266 Commerce St
Bldg A
Saint Francisville, LA 70775
Phone (225) 635-2441

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
The Hospital Service District of West Feliciana Parish Louisiana Organization, St. Francisville, LA 5% Or Greater Direct Ownership Interest Jan 1, 2019 100%
Operational/Managerial Control Oct 1, 2019 100%
Ledoux Chastant Individual 5% Or Greater Direct Ownership Interest Oct 1, 2019 5%
Corporate OfficerCeo Oct 1, 2019 100%
W-2 Managing EmployeePractice Manager Oct 1, 2019

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
The Hospital Service District of West Feliciana Parish LouisianaSaint Francisville, LA, CCN 19Z306 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2002
St. Francis Pediatric Rural Health ClinicSaint Francisville, LA, CCN 198563 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2025

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1467007807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "SAINT FRANCISVILLE",
            "state": "LA",
            "postal_code": "707750368",
            "telephone_number": "225-635-2441",
            "fax_number": "225-635-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5266 COMMERCE ST BLDG A",
            "city": "SAINT FRANCISVILLE",
            "state": "LA",
            "postal_code": "707754409",
            "telephone_number": "225-635-2441",
            "fax_number": "225-635-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOSPITAL SERVICE DISTRICT OF WEST FELICIANA PARISH LOUISIANA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE HOSPITAL SERVICE DISTRICT OF WEST FELICIANA PARISH LOUISIANA",
        "enumeration_date": "2019-08-02",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "MCCORD",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "225-635-2423",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1734811",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Francis Cypress Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Francis Cypress Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Francisville, LA

Sources for this page

Verify at the official NPI Registry.