NPIMap

Organization Active NPI

St. Charles Surgical Hospital, LLC

  • Special Hospital
  • New Orleans, LA
National Provider Identifier
1639323595
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
648 Issued in LA
Legal business name
ST. CHARLES SURGICAL HOSPITAL, LLC
Practice address
1717 St. Charles Ave
New Orleans, LA 70130-5223
Phone
(504) 529-6600
Fax
(504) 529-6672
NPI assigned
Nov 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Authorized official

Name
Ms. Myra Digange, R.N.
Title
Administrator
Phone
(504) 529-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X 648 LA Primary

Addresses

Primary practice location

1717 St. Charles Ave
New Orleans, LA 70130-5223

Mailing address

1717 St. Charles Ave
New Orleans, LA 70130-5223
Phone (504) 529-6600

Other names 1

  • St. Charles Surgical Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100505000303 LA Part A Provider - Hospital 7416085881 Practice locations: New Orleans, LA

Hospital certification: CCN 190300

Legal name
ST. CHARLES SURGICAL HOSPITAL, LLC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Dec 1, 2010
Last certification
Sep 30, 2024
Beds
39
Ownership / control type
Physician ownership
Organization structure
LLCProprietary
Incorporated
Jul 17, 2003 in LA
Enrollment address
1717 St.Charles Ave
New Orleans, LA 70130-5223
Other Hospital Practice Location
Hospital subgroups
Specialty hospital

Care Compare: Hospital

Medicare Care Compare
Listed as
St Charles Surgical HospitalCCN 190300
Type
Acute Care Hospitals
Ownership
Physician
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

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
19D1054199St Charles Surgical Hospital LLC1717 St Charles Avenue, New Orleans, LA 70130Certificate of waiverSep 2, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Sarah H Underwood Individual W-2 Managing EmployeeCfo May 29, 2012
Cheri Saltaformaggio Individual Corporate OfficerCeo Feb 16, 2009
CRBS Management, LLC Organization, Waltham, MA LLC 5% Or Greater Direct Ownership Interest Feb 15, 2022

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1639323595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 ST. CHARLES AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305223",
            "telephone_number": "504-529-6600",
            "fax_number": "504-529-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 ST. CHARLES AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305223",
            "telephone_number": "504-529-6600",
            "fax_number": "504-529-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CHARLES SURGICAL HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "DIGANGE",
        "authorized_official_first_name": "MYRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "504-529-6600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "LA",
            "license": "648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Charles Surgical Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.