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Lasalle Parish Hospital Service Dist No1

Organization Active NPI Critical Access Hospital · Olla, LA

NPI 1639263189 · NPPES record last updated Apr 21, 2023

Key facts

NPI
1639263189
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
178 (LA)
Legal business name
LASALLE PARISH HOSPITAL SERVICE DIST NO1
Practice address
1102 North Pine Road
Olla, LA 71465
Phone
(318) 495-3131
Fax
(318) 495-3229
NPI assigned
Oct 2, 2006
Organization subpart
No

Authorized official

Name
Mr. Paul G Mathews
Title
Administrator
Phone
(318) 495-3131

Other NPIs with the same Medicare PAC ID 4

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

Corporate family (same tax ID) 7

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

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

Practitioners 54

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

View all 54

Affiliated clinicians 49

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

View all 49

Medicare Care Compare: Hospital

Listed as
Hardtner Medical Center CCN 191315
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Hospital certification: CCN 191315

Legal name
LASALLE PARISH HOSPITAL SERVICE DIST NO1
Doing business as
HARDTNER MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 1, 2004
Last certification
Jan 19, 2022
Beds
25
Ownership / control type
Hospital district or authority
Organization structure
Other · Non-profit
Enrollment address
1102 North Pine Rd
Olla, LA 71465-4804
Other Hospital Practice Location

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Steve Tannehill
Individual 		Corporate Director Aug 12, 2013
Rick Smotherman
Individual 		Corporate Director Nov 1, 2005
Michael Duke
Individual 		Corporate Director Jan 1, 2003
Richard Wilson
Individual 		Corporate Director Jun 24, 1999
Paul Mathews
Individual 		Corporate Officer
Administrator		 May 5, 2001
W-2 Managing Employee
Administrator		 May 5, 2001
Lee Richardel
Individual 		Corporate Officer
Chairman of the Governing Board		 Aug 1, 1986

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20110114000363 LA Part a Provider - Critical Access Hospital 6709781545 Receives reassigned benefits from 45 practitioners
Practice locations: Olla, LA

National Provider Directory

Tax ID family
Hardtner Medical CTN (8 organizations share this tax ID)

Locations

1049 N Pine Rd
Ste E
Olla, LA 71465

1049 N Pine Rd
Ste D
Olla, LA 71465
Phone (318) 495-0758

1049 N Pine Rd
Ste A
Olla, LA 71465

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 178 LA Yes

Addresses

Primary practice location

1102 North Pine Road
Olla, LA 71465

Mailing address

1102 North Pine Road
Olla, LA 71465
Phone (318) 495-3131

Other identifiers

IdentifierTypeStateIssuer
1730114MedicaidLA

Other names

  • HARDTNER MEDICAL CENTER Doing business as

Other providers in Olla, LA

All providers in Olla, LA · Critical Access Hospital in Louisiana

Sources for this page

Verify at the official NPI Registry.