NPIMap

Organization Active NPI

Acadia-St. Landry Hospital Service District

Doing business as Acadia St. Landry Hospital

  • Emergency Medicine Physician
  • Church Point, LA
National Provider Identifier
1518981968
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
106 Issued in LA
Legal business name
ACADIA-ST. LANDRY HOSPITAL SERVICE DISTRICT
Doing business as
Acadia St. Landry Hospital
Practice address
810 S Broadway St
Church Point, LA 70525-4402
Phone
(337) 684-5435
Fax
(337) 684-1408
NPI assigned
Jul 27, 2006
Last updated
Jul 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Mr. Michael J Lejeune
Title
Ceo/Administrator
Phone
(337) 684-2044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 106 LA Primary

Addresses

Primary practice location

810 S Broadway St
Church Point, LA 70525-4402

Mailing address

810 S Broadway St
Church Point, LA 70525-4402
Phone (337) 684-5435

Other identifiers 2

IdentifierTypeStateIssuer
1796361MedicaidLA
41500OtherLAEMERGENCY PHYSICIAN FEE

Other names 1

  • ACADIA ST. LANDRY HOSPITAL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031205000219 LA Part B Supplier - Clinic/Group Practice 3476458092 Receives reassigned benefits from 49 practitioners
1 other NPI on this enrollment
Practice locations: Church Point, LA

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Acadia St Landry Hospit9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Acadia St. Landry HospitalChurch Point, LA, CCN 191319 Hospital Operational/Managerial Control (100%) Jun 23, 2016
Acadia St. Landry HospitalChurch Point, LA, CCN 19Z319 Hospital Operational/Managerial Control Nov 14, 2005
Acadia St. Landry HospitalChurch Point, LA, CCN 19M319 Hospital Operational/Managerial Control (100%) Jul 25, 2016
Acadia-St. Landry Hospital Service DistrictChurch Point, LA, CCN 198528 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 18, 2020
Jun 23, 2016

Owned or controlled facilities with NPI records 4

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

Practitioners & affiliated clinicians

Practitioners 51

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 51

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1518981968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 S BROADWAY ST",
            "city": "CHURCH POINT",
            "state": "LA",
            "postal_code": "705254402",
            "telephone_number": "337-684-5435",
            "fax_number": "337-684-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 S BROADWAY ST",
            "city": "CHURCH POINT",
            "state": "LA",
            "postal_code": "705254402",
            "telephone_number": "337-684-5435",
            "fax_number": "337-684-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIA-ST. LANDRY HOSPITAL SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "LEJEUNE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "337-684-2044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1796361",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMERGENCY PHYSICIAN FEE",
            "identifier": "41500",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACADIA ST. LANDRY HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Church Point, LA

Sources for this page

Verify at the official NPI Registry.