Allen Parish Hospital District No 3
Organization Active NPI Emergency Medicine Physician · Kinder, LA
NPI 1497615447 · NPPES record last updated Nov 13, 2025
Key facts
- NPI
- 1497615447
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- ALLEN PARISH HOSPITAL DISTRICT NO 3
- Practice address
- 108 6TH Ave
Emergency Department
Kinder, LA 70648-3187 - Phone
- (337) 738-2527
- Fax
- (337) 738-5305
- NPI assigned
- Nov 13, 2025
- Organization subpart
- No
Authorized official
- Name
- Mr. Richard W Stokes Jr., CPA
- Title
- Cfo
- Phone
- (337) 738-6318
Other NPIs on the same Medicare enrollment 4
Corporate family (same tax ID) 7
Practitioners 78
-
Rex Brown, CRNA
-
Jessica Caraway, MD
-
Joseph R. Caraway, CRNA
-
Brett Michael Cascio, M.D.
-
Mark Edward Clawson, MD PMC
-
Matthew Ross Courville, M.D.
-
Steven R Deloach, MD
-
Derek J. Deshotel, CRNA
-
Mary Lyn Dore, APRN
-
Corey G Foster, MD
-
Savannah V Frith, PMHNP-BC
-
Morgan Harmon, FNP
-
Monty N Heinen, MD
-
Kelcie James, FNP-C
-
Allissa Kay Joseph, APRN
-
Sandy F Leger, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031229000092 | LA | Part B Supplier - Clinic/Group Practice | 3274431341 |
Receives reassigned benefits from 76 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kinder, LA; Reeves, LA |
National Provider Directory
- Tax ID family
- Khudr Burjak MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
108 6TH Ave
Emergency Department
Kinder, LA 70648-3187
Mailing address
108 6TH Ave
Kinder, LA 70648-3187
Phone (337) 738-2527
Other names
- APCH Emergency Services
Other providers in Kinder, LA
- Allen Parish Hospital
- Allen Parish Hospital District No 3
- Allen Parish Hospital District No 3
- Allen Parish Hospital District No 3
- Allen Parish Hospital District No 3
- Allen Parish Hospital District No 3
- Allen Parish Hospital District No 3
- Allen Parish Medical Supply
- Bayou Chirocare
- Bayou Chirocare LLC
All providers in Kinder, LA · Emergency Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.