NPIMap

Organization Active NPI

Lasalle Parish Hospital Service Dist No1

Doing business as Hardtner Medical Center

  • Critical Access Hospital
  • Olla, LA
National Provider Identifier
1639263189
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
178 Issued in LA
Legal business name
LASALLE PARISH HOSPITAL SERVICE DIST NO1
Doing business as
Hardtner Medical Center
Practice address
1102 North Pine Road
Olla, LA 71465
Phone
(318) 495-3131
Fax
(318) 495-3229
NPI assigned
Oct 2, 2006
Last updated
Apr 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Authorized official

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

Specialties & licenses 1

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

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 names 1

  • HARDTNER MEDICAL CENTER Doing business as

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639263189. Details of each certification follow.

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
OtherNon-profit
Enrollment address
1102 North Pine Rd
Olla, LA 71465-4804
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Hardtner Medical CenterCCN 191315 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Lasalle Parish Hospital Service Dist No18 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Ownership & related parties

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 OfficerAdministrator May 5, 2001
W-2 Managing EmployeeAdministrator May 5, 2001
Lee Richardel Individual Corporate OfficerChairman of the Governing Board Aug 1, 1986

Practitioners & affiliated clinicians

Practitioners 55

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 55

Affiliated clinicians 49

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

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1639263189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 NORTH PINE ROAD",
            "city": "OLLA",
            "state": "LA",
            "postal_code": "71465",
            "telephone_number": "318-495-3131",
            "fax_number": "318-495-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 NORTH PINE ROAD",
            "city": "OLLA",
            "state": "LA",
            "postal_code": "71465",
            "telephone_number": "318-495-3131",
            "fax_number": "318-495-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASALLE PARISH HOSPITAL SERVICE DIST NO1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-495-3131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "LA",
            "license": "178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARDTNER MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HARDTNER MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olla, LA

Sources for this page

Verify at the official NPI Registry.