NPIMap

Organization Active NPI

Laird Hospital, Inc.

Doing business as Ochsner Laird Hospital

  • Critical Access Hospital
  • Union, MS
National Provider Identifier
1518924752
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
13-310 Issued in MS
Legal business name
LAIRD HOSPITAL, INC.
Doing business as
Ochsner Laird Hospital
Practice address
25117 Highway 15
Union, MS 39365-9088
Phone
(601) 774-8214
Fax
(601) 774-5401
NPI assigned
May 1, 2006
Last updated
Dec 22, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
LAIRD HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Authorized official

Name
Don Larkin Kennedy
Title
Regional Ceo
Phone
(601) 703-9614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 13-310 MS Primary

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 1

IdentifierTypeStateIssuer
004125505MedicaidMS

Other names 1

  • Ochsner Laird Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210811003957 MS Part A Provider - Critical Access Hospital 7214991769 Receives reassigned benefits from 40 practitioners
Practice locations: Union, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1518924752. Details of each certification follow.

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
CorporationNon-profit
Enrollment address
25117 Highway 15
Union, MS 39365-9088
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 8

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Ochsner Laird HospitalCCN 251322 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Ruch Med Clincollinsville

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

252 Northside Dr
Newton, MS 39345
Phone (601) 683-3117

25155 Highway 15
Union, MS 39365
Phone (601) 774-1513

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
Johnathan Y Lee Individual Corporate DirectorGoverning Board, Rush Health System Jul 1, 2022
Operational/Managerial ControlGoverning Board, Rush Health System Jul 1, 2022
Michael F Hulefeld Individual Corporate OfficerPresident, Coo Nov 1, 2022
Corporate DirectorPresident, Coo Nov 1, 2022
Operational/Managerial ControlPresident, Coo Nov 1, 2022
Faye Martin Individual Corporate DirectorGoverning Board, Rush Health System Jul 1, 2022
Operational/Managerial ControlGoverning Board, Rush Health System Jul 1, 2022
Alan Gartrell Individual Corporate DirectorGoverning Board, Rush Health System Jul 1, 2022
Operational/Managerial ControlGoverning Board, Rush Health System Jul 1, 2022
Rush Medical Foundation Organization, Meridian, MS Medical provider/supplier, Non-profit 5% Or Greater Mortgage Interest Jan 1, 2020 100%
Peter C November Individual Corporate OfficerChief Executive Officer Nov 1, 2022
Corporate DirectorChief Executive Officer Nov 1, 2022
Operational/Managerial ControlChief Executive Officer Nov 1, 2022
Heather Davis Individual W-2 Managing EmployeeAdministrator Jan 1, 2024
Operational/Managerial ControlAdministrator Jan 1, 2024
James M Molloy Individual Corporate OfficerExecutive VP, Cfo, Treasurer Jan 1, 2024
Darrell Wildman Individual Corporate DirectorGoverning Board, Rush Health System Jul 1, 2022
Operational/Managerial ControlGoverning Board, Rush Health System Jul 1, 2022
Ochsner Clinic Foundation Organization, New Orleans, LA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2022 100%
Operational/Managerial Control Jul 1, 2022
Don L Kennedy Individual Corporate OfficerRegional Chief Executive Officer, R Jul 1, 2022
W-2 Managing EmployeeRegional Chief Executive Officer, R Jul 1, 2022
Operational/Managerial ControlRegional Chief Executive Officer, R Jul 1, 2022
Rush Health Systems Inc Organization, Meridian, MS Corporation, Non-profit 5% Or Greater Direct Ownership Interest Dec 2, 2004 100%
Operational/Managerial Control Jul 1, 2022
David L Butler Individual Corporate OfficerChief Financial Officer, Rush Healt Jul 1, 2022
W-2 Managing EmployeeChief Financial Officer, Rush Healt Jul 1, 2022
Operational/Managerial ControlChief Financial Officer, Rush Healt Jul 1, 2022

Owners & managing parties with NPI records 10

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

Facilities with the same owner 75

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

  • Kemper Cah, Inc

    dba Ochsner Health Center-Hwy 39

    • Rural Health Clinic/Center
    • Meridian, MS
    • NPI 1275879314

    Ochsner Clinic Foundation, Rush Health Systems Inc

    CMS ownership
  • Kemper Cah, Inc.

    dba Ochsner Stennis Hospital Swing Bed

    • Medicare Defined Swing Bed Hospital Unit
    • De Kalb, MS
    • NPI 1518260322

    Ochsner Clinic Foundation, Rush Health Systems Inc

    CMS ownership
  • Kemper Cah, Inc.

    dba Ochsner Stennis Hospital

    • Critical Access Hospital
    • De Kalb, MS
    • NPI 1679875645

    Ochsner Clinic Foundation, Rush Health Systems Inc

    CMS ownership
  • Kemper Cah, Inc.

    dba Ochsner Health Center-Dekalb

    • Rural Health Clinic/Center
    • De Kalb, MS
    • NPI 1912348616

    Ochsner Clinic Foundation, Rush Health Systems Inc

    CMS ownership
  • Kemper, Cah, Inc.

    dba Ochsner Health Center-Marion

    • Rural Health Clinic/Center
    • Marion, MS
    • NPI 1669812962

    Rush Health Systems Inc

    CMS ownership
  • Laird Hospital, Inc

    dba Ochsner Health Center- Collinsville

    • Rural Health Clinic/Center
    • Collinsville, MS
    • NPI 1073959375

    Ochsner Clinic Foundation, Rush Health Systems Inc

    CMS ownership
  • Laird Hospital, Inc.

    dba Ochsner Laird Hospital Swing Bed

    • Medicare Defined Swing Bed Hospital Unit
    • Union, MS
    • NPI 1033176276

    Ochsner Clinic Foundation, Rush Health Systems Inc

    CMS ownership
  • Laird Hospital, Inc.

    dba Ochsner Health Center- Decatur

    • Rural Health Clinic/Center
    • Decatur, MS
    • NPI 1033460878

    Ochsner Clinic Foundation, Rush Health Systems Inc

    CMS ownership
  • Laird Hospital, Inc.

    dba Ochsner Childrens Health Center

    • Rural Health Clinic/Center
    • Meridian, MS
    • NPI 1114330347

    Ochsner Clinic Foundation, Rush Health Systems Inc

    CMS ownership
  • Laird Hospital, Inc.

    dba Ochsner Health Center- Newton

    • Rural Health Clinic/Center
    • Newton, MS
    • NPI 1194323170

    Ochsner Clinic Foundation, Rush Health Systems Inc

    CMS ownership
  • Laird Hospital, Inc.

    dba Ochsner Health Center- Philadelphia

    • Rural Health Clinic/Center
    • Philadelphia, MS
    • NPI 1275873572

    Ochsner Clinic Foundation, Rush Health Systems Inc

    CMS ownership
  • Laird Hospital, Inc.

    dba Ochsner Health Center- Union

    • Rural Health Clinic/Center
    • Union, MS
    • NPI 1851643928

    Ochsner Clinic Foundation, Rush Health Systems Inc

    CMS ownership
View all 75

Practitioners & affiliated clinicians

Practitioners 105

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.

View all 105

Affiliated clinicians 102

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 102

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1518924752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 3021",
            "address_2": "PO BOX 1000",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38148",
            "telephone_number": "601-213-3010",
            "fax_number": "601-213-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25117 HIGHWAY 15",
            "city": "UNION",
            "state": "MS",
            "postal_code": "393659088",
            "telephone_number": "601-774-8214",
            "fax_number": "601-774-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAIRD HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAIRD HOSPITAL, INC.",
        "enumeration_date": "2006-05-01",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "LARKIN",
        "authorized_official_title_or_position": "REGIONAL CEO",
        "authorized_official_telephone_number": "601-703-9614"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MS",
            "license": "13-310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004125505",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ochsner Laird Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union, MS

Sources for this page

Verify at the official NPI Registry.