NPIMap

Organization Active NPI

CLHG-Leesville

Doing business as West Louisiana Obstetrics and Gynecology

  • Rural Health Clinic/Center
  • Leesville, LA
National Provider Identifier
1598327892
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CLHG-LEESVILLE
Doing business as
West Louisiana Obstetrics and Gynecology
Practice address
927 Verone Ter
Leesville, LA 71446-4255
Phone
(337) 238-1049
NPI assigned
Jul 8, 2019
Last updated
Mar 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Donald E. Cameron
Title
Board Member
Phone
(318) 226-8202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

927 Verone Ter
Leesville, LA 71446-4255

Mailing address

1020 W Fertitta Blvd
Leesville, LA 71446-4645
Phone (337) 239-5274

Other names 1

  • West Louisiana Obstetrics and Gynecology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200310000179 LA Part B Supplier - Clinic/Group Practice 4082963301 Receives reassigned benefits from 28 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Deridder, LA; Leesville, LA; Rosepine, LA
O20201123001252 LA Part A Provider - Rural Health Clinic 4082963301 Practice locations: Leesville, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598327892. Details of each certification follow.

Rural health clinic certification: CCN 198541

Legal name
CLHG-LEESVILLE
Doing business as
WEST LA OBSTETRICS & GYNECOLOGY
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 13, 2022
Last certification
Jun 13, 2025
Ownership / control type
1B
Organization structure
LLCProprietary
Incorporated
Feb 28, 2018 in LA
Enrollment address
927 Verone Ter
Leesville, LA 71446-4255
Related CCNs
190164

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

Other NPIs with the same Medicare PAC ID 9

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

Other NPIs on the same Medicare enrollment 8

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D1061473West la Obstetrics & Gynecology927 Verone Terrace, Leesville, LA 71446Certificate of waiverNov 16, 2026

National Provider Directory

National Provider Directory
Tax ID family
CLHG-Leesville13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Donald Cameron Individual 5% Or Greater Direct Ownership InterestBoard Member Jun 1, 2018 16%
Rock Bordelon Individual 5% Or Greater Direct Ownership InterestBoard Member Jul 31, 2019 80%
Kevin Quinn Individual W-2 Managing EmployeeChief Executive Officer Jul 15, 2019
Allegiance Health Management Inc Organization, Shreveport, LA Corporation, For-profit Operational/Managerial Control Dec 1, 2020
Cameron Investments LLC Organization, Shreveport, LA LLC, For-profit 5% Or Greater Direct Ownership Interest Jul 31, 2019 16%

Facilities with the same owner 53

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

View all 53

Practitioners & affiliated clinicians

Practitioners 1

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": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1598327892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 W FERTITTA BLVD",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464645",
            "telephone_number": "337-239-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 VERONE TER",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464255",
            "telephone_number": "337-238-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLHG-LEESVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "318-226-8202"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Louisiana Obstetrics and Gynecology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Louisiana Obstetrics and Gynecology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesville, LA

Sources for this page

Verify at the official NPI Registry.