NPIMap

Organization Active NPI

Natchitoches Parish Hospital Service District

Doing business as Natchitoches Regional Medical Center

  • Psychiatric Hospital Unit
  • Natchitoches, LA
National Provider Identifier
1467522144
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
208 Issued in LA
Legal business name
NATCHITOCHES PARISH HOSPITAL SERVICE DISTRICT
Doing business as
Natchitoches Regional Medical Center
Practice address
501 Keyser Ave
Natchitoches, LA 71457-6018
Phone
(318) 214-4200
Fax
(318) 214-4493
NPI assigned
Nov 9, 2006
Last updated
Jun 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Authorized official

Name
Mr. William B McCormick
Title
Cfo
Phone
(318) 214-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 208 LA Primary

Addresses

Primary practice location

501 Keyser Ave
Natchitoches, LA 71457-6018

Mailing address

PO Box 2009
Natchitoches, LA 71457-2009
Phone (318) 214-4200

Other identifiers 2

IdentifierTypeStateIssuer
1705705MedicaidLA
61233OtherLABLUE CROSS PSY NUMBER

Other names 1

  • NATCHITOCHES 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
O20081125000216 LA Part A Provider - Hospital 2163322140 Practice locations: Natchitoches, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467522144. Details of each certification follow.

Hospital certification: CCN 19S007

Legal name
NATCHITOCHES PARISH HOSPITAL SERVICE DISTRICT
Doing business as
NATCHITOCHES REGIONAL MEDICAL CENTER
Organization structure
OtherNon-profit
Enrollment address
501 Keyser Ave
Natchitoches Regional Medical Center
Natchitoches, LA 71457-2009
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

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

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Tax ID family
Milton R Eichmann MD15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Ronald Corkern Individual Corporate DirectorBoard Member Aug 1, 2021
John Luster Individual Corporate DirectorBoard Member Aug 1, 2021
Michael Newton Individual Corporate DirectorBoard Member Aug 1, 2021
Damian Kirk Soileau Individual Corporate OfficerCeo May 1, 2013
W-2 Managing EmployeeAd; May 1, 2013
Valencia Jones Individual Corporate DirectorBoard Member May 15, 2022
Wayne Halm Individual Corporate DirectorBoard Member Mar 27, 2024
Christopher L Ingram Individual Corporate DirectorBoard Member Aug 1, 2021
W-2 Managing EmployeeMD; Aug 1, 2021

Owners & managing parties with NPI records 1

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
Louisiana Extended Care Hospital of NatchitochesNatchitoches, LA, CCN 192035 Hospital 5% Or Greater Direct Ownership Interest (51%) Feb 24, 2024
Louisiana Extended Care Hospital of NatchitochesNatchitoches, LA, CCN 19TA35 Hospital 5% Or Greater Direct Ownership Interest (51%) Feb 24, 2024

Owned or controlled facilities with NPI records 2

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

  • LLC-I, LLC

    dba Louisiana Extended Care Hospital of Natchitoches

    • Long Term Care Hospital
    • Natchitoches, LA
    • NPI 1083715841

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • LLC-I, LLC

    dba Louisiana Extended Care Hospital of Natchitoches

    • Rehabilitation Hospital Unit
    • Natchitoches, LA
    • NPI 1417609975

    5% Or Greater Direct Ownership Interest

    CMS ownership

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": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1467522144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2009",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714572009",
            "telephone_number": "318-214-4200",
            "fax_number": "318-214-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 KEYSER AVE",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576018",
            "telephone_number": "318-214-4200",
            "fax_number": "318-214-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATCHITOCHES PARISH HOSPITAL SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "318-214-4200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "LA",
            "license": "208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1705705",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PSY NUMBER",
            "identifier": "61233",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NATCHITOCHES REGIONAL MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NATCHITOCHES REGIONAL MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natchitoches, LA

Sources for this page

Verify at the official NPI Registry.