NPIMap

Organization Active NPI

Savoy Medical Management Group, Inc

Doing business as Basile Rural Health Clinic

  • Rural Health Clinic/Center
  • Basile, LA
National Provider Identifier
1609234012
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
2203783121 Issued in LA
Legal business name
SAVOY MEDICAL MANAGEMENT GROUP, INC
Doing business as
Basile Rural Health Clinic
Practice address
1431 Fuselier Ave
Basile, LA 70515-5583
Phone
(337) 432-0200
Fax
(337) 432-0202
NPI assigned
Feb 1, 2016
Last updated
Mar 31, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SAVOY MEDICAL MANAGEMENT GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Authorized official

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

Specialties & licenses 1

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

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 1

  • BASILE RURAL HEALTH CLINIC Doing business as

Medicare participation

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

Enrollment records 2

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609234012. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Jun 23, 2008 in LA
Enrollment address
1431 Fuselier Ave
Basile, LA 70515-5583
Related CCNs
190025

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

Other NPIs with the same Medicare PAC ID 12

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

National Provider Directory

National Provider Directory
Part of
Savoy Med MGMT GRP Inc

Ownership & related parties

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 OfficerBoard Member Nov 17, 2015
Vicky Hundley Individual Corporate DirectorBoard Member Jan 1, 2024
Town of Mamou Organization, Mamou, LA 5% Or Greater Direct Ownership Interest Jan 1, 2010 100%
Eugene Burge Individual Corporate DirectorBoard Member - Vice President Jan 12, 2022
Lovelin Poncho Individual Corporate DirectorBoard Member Mar 1, 2015
Thomas F Fuselier Individual Corporate DirectorBoard 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 DirectorBoard Member May 1, 2018

Owners & managing parties with NPI records 1

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

Facilities with the same owner 10

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

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": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1609234012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 POINCIANA AVE",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "705542243",
            "telephone_number": "337-432-0200",
            "fax_number": "337-432-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 FUSELIER AVE",
            "city": "BASILE",
            "state": "LA",
            "postal_code": "705155583",
            "telephone_number": "337-432-0200",
            "fax_number": "337-432-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVOY MEDICAL MANAGEMENT GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAVOY MEDICAL MANAGEMENT GROUP, INC.",
        "enumeration_date": "2016-02-01",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-468-0355",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "LA",
            "license": "2203783121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BASILE RURAL HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Basile, LA

Sources for this page

Verify at the official NPI Registry.