Savoy Medical Management Group, Inc

Organization Active NPI Rural Health Clinic/Center · Basile, LA

NPI 1609234012 · NPPES record last updated Mar 31, 2026

Key facts

NPI
1609234012
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
License
2203783121 (LA)
Legal business name
SAVOY MEDICAL MANAGEMENT GROUP, INC
Practice address
1431 Fuselier Ave
Basile, LA 70515-5583
Phone
(337) 432-0200
Fax
(337) 432-0202
NPI assigned
Feb 1, 2016
Organization subpart
Yes
Parent organization (as reported)
SAVOY MEDICAL MANAGEMENT GROUP, INC.

Authorized official

Name
Mr. Michael W. Johnson, CPA
Title
President
Phone
(337) 468-0355

Owners & managing parties with NPI records 1

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

Other NPIs with the same Medicare PAC ID 12

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

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

Facilities with the same owner 10

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

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 37

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in LA

Rural health clinic certification: CCN 198512

Legal name
SAVOY MEDICAL MANAGEMENT GROUP, INC
Doing business as
BASILE RURAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 16, 2019
Last certification
May 16, 2019
Ownership / control type
2B
Organization structure
Corporation · Non-profit
Incorporated
Jun 23, 2008 in LA
Enrollment address
1431 Fuselier Ave
Basile, LA 70515-5583
Related CCNs
190025

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Michael W Johnson
Individual
Corporate Officer
Board Member
Nov 17, 2015
Vicky Hundley
Individual
Corporate Director
Board Member
Jan 1, 2024
Town of Mamou
Organization · Mamou, LA
5% Or Greater Direct Ownership Interest Jan 1, 2010 100%
Eugene Burge
Individual
Corporate Director
Board Member - Vice President
Jan 12, 2022
Lovelin Poncho
Individual
Corporate Director
Board Member
Mar 1, 2015
Thomas F Fuselier
Individual
Corporate Director
Board Member
Jan 11, 2023
Brian D Denton
Individual
Corporate Director Sep 9, 2024
W-2 Managing Employee Sep 9, 2024
Margaret Hamilton
Individual
Corporate Director May 9, 2024
W-2 Managing Employee May 9, 2024
Francisco Cantu
Individual
Corporate Director
Board Member
May 1, 2018

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20160719002467 LA Part B Supplier - Clinic/Group Practice 1557403953 Receives reassigned benefits from 1 practitioner
Practice locations: Basile, LA
O20190716003017 LA Part a Provider - Rural Health Clinic 1557403953 Practice locations: Basile, LA

National Provider Directory

Part of
Savoy Medical Management Group Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 2203783121 LA Yes

Addresses

Primary practice location

1431 Fuselier Ave
Basile, LA 70515-5583

Mailing address

801 Poinciana Ave
Mamou, LA 70554-2243
Phone (337) 432-0200

Other names

  • BASILE RURAL HEALTH CLINIC Doing business as

Other providers in Basile, LA

All providers in Basile, LA · Rural Health Clinic/Center in Louisiana

Sources for this page

Verify at the official NPI Registry.