Laird Hospital, Inc.
Organization Active NPI Critical Access Hospital · Union, MS
NPI 1518924752 · NPPES record last updated Dec 22, 2022
Key facts
- NPI
- 1518924752
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 13-310 (MS)
- Legal business name
- LAIRD HOSPITAL, INC.
- Practice address
- 25117 Highway 15
Union, MS 39365-9088 - Phone
- (601) 774-8214
- Fax
- (601) 774-5401
- NPI assigned
- May 1, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- LAIRD HOSPITAL, INC.
Authorized official
- Name
- Don Larkin Kennedy
- Title
- Regional Ceo
- Phone
- (601) 703-9614
Owners & managing parties with NPI records 10
-
Johnathan Lee, M.D.
Other NPIs with the same Medicare PAC ID 8
Member of 3
Related certifications (CCN) 6
Facilities with the same owner 75
Practitioners 106
-
Andrew Daughton Chambers, FNP-BC
-
Bobbie Evans Mooney, APRN
-
Angela K Skinner, FNP
-
Patsy Lenan Holloway, FNP BC
-
Betsy L Mann, FNP
-
Rehmat Ullah Awan, M.B,B.S , MD
-
Bret A Boes, M.D.
-
Melissa D. Campbell, M.D.
-
Martin Wayne Carr, FNP
-
Matthew Thomas Copeland, FNP-C
-
Brandon J Craft, NP
-
Frederick T Duggan, M.D.
-
Connie J Gainey, FNP BC
-
Amber Gunn, F.N.P.
-
Shelby McKelvaine Harper, FNP-BC/AG-ACNP-BC
-
Melissa B Jackson, FNP
-
Norman Jenkins, FNP
-
Sammy Elizabeth Kratzer, FNP-C
-
Johnathan Lee, M.D.
Affiliated clinicians 102
-
Richmond L Alexander III, M.D.
-
Russell E. Belenchia, D.O.
-
Krista L. Boyette, M.D.
-
Sierra Cain, NP-C
-
Melissa D. Campbell, M.D.
-
Andrew Daughton Chambers, FNP-BC
-
Dana Chard, M. D.
-
Brandon J Craft, NP
-
Zaineb Daud, MD
-
Charles W. Davenport Jr., M.D.
-
Jason Defatta, D.O.
-
Jessica Derrick, FNP-C
-
Allison Hailman Doyle, D.O.
-
Frederick T Duggan, M.D.
-
Patrick Eakes, MD
Medicare Care Compare: Hospital
- Listed as
- Ochsner Laird Hospital
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Hospital certification: CCN 251322
- Legal name
- LAIRD HOSPITAL, INC.
- Doing business as
- OCHSNER LAIRD HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Dec 14, 2004
- Last certification
- Jan 5, 2023
- Beds
- 25
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 25117 Highway 15
Union, MS 39365-9088
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Johnathan Y Lee |
Corporate Director |
Jul 1, 2022 | |
| Operational/Managerial Control |
Jul 1, 2022 | ||
| Michael F Hulefeld |
Corporate Officer |
Nov 1, 2022 | |
| Corporate Director |
Nov 1, 2022 | ||
| Operational/Managerial Control |
Nov 1, 2022 | ||
| Faye Martin |
Corporate Director |
Jul 1, 2022 | |
| Operational/Managerial Control |
Jul 1, 2022 | ||
| Alan Gartrell |
Corporate Director |
Jul 1, 2022 | |
| Operational/Managerial Control |
Jul 1, 2022 | ||
| Rush Medical Foundation |
5% Or Greater Mortgage Interest | Jan 1, 2020 | 100% |
| Peter C November |
Corporate Officer |
Nov 1, 2022 | |
| Corporate Director |
Nov 1, 2022 | ||
| Operational/Managerial Control |
Nov 1, 2022 | ||
| Heather Davis |
W-2 Managing Employee |
Jan 1, 2024 | |
| Operational/Managerial Control |
Jan 1, 2024 | ||
| James M Molloy |
Corporate Officer |
Jan 1, 2024 | |
| Darrell Wildman |
Corporate Director |
Jul 1, 2022 | |
| Operational/Managerial Control |
Jul 1, 2022 | ||
| Ochsner Clinic Foundation |
5% Or Greater Indirect Ownership Interest | Jul 1, 2022 | 100% |
| Operational/Managerial Control | Jul 1, 2022 | ||
| Don L Kennedy |
Corporate Officer |
Jul 1, 2022 | |
| W-2 Managing Employee |
Jul 1, 2022 | ||
| Operational/Managerial Control |
Jul 1, 2022 | ||
| Rush Health Systems Inc |
5% Or Greater Direct Ownership Interest | Dec 2, 2004 | 100% |
| Operational/Managerial Control | Jul 1, 2022 | ||
| David L Butler |
Corporate Officer |
Jul 1, 2022 | |
| W-2 Managing Employee |
Jul 1, 2022 | ||
| Operational/Managerial Control |
Jul 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210811003957 | MS | Part a Provider - Critical Access Hospital | 7214991769 |
Receives reassigned benefits from 40 practitioners Practice locations: Union, MS |
National Provider Directory
- Part of
- Laird Hospital Inc
Locations
1221 24th Ave
Meridian, MS 39301
Phone (601) 482-1002
25155 Highway 15
Union, MS 39365
Phone (601) 774-1513
24345 Highway 15
Union, MS 39365
Phone (601) 774-8211
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 13-310 | MS | Yes |
Addresses
Primary practice location
25117 Highway 15
Union, MS 39365-9088
Mailing address
Dept 3021
PO Box 1000
Memphis, TN 38148
Phone (601) 213-3010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004125505 | Medicaid | MS |
Other names
- Ochsner Laird Hospital
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Union, MS
- Lindy Carol Jordan
- Wendy Beeland Kirkland
- L. B. Adkins, O.D
- Laboratory Corporation of America Holdings
- Laird Hospital, Inc.
- Laird Hospital, Inc.
- Laird Hospital, Inc.
- Melissa Loper
- Sheri Marie Luebrecht
- Danielle McDaniel
All providers in Union, MS · Critical Access Hospital in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2022. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.