NPIMap

Organization Active NPI

Desoto Hospital Association

Doing business as Desoto Regional Health System

  • Medicare Defined Swing Bed Hospital Unit
  • Mansfield, LA
National Provider Identifier
1669541850
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
DESOTO HOSPITAL ASSOCIATION
Doing business as
Desoto Regional Health System
Practice address
207 Jefferson St
Mansfield, LA 71052-2603
Phone
(318) 872-4610
Fax
(318) 872-1502
NPI assigned
Nov 6, 2006
Last updated
Jun 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Christopher Davis
Title
Cfo
Phone
(318) 270-3250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X NU Primary

Addresses

Primary practice location

207 Jefferson St
Mansfield, LA 71052-2603

Mailing address

207 Jefferson St
Mansfield, LA 71052-2603
Phone (318) 872-4610

Other names 1

  • Desoto Regional Health System Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DRHS@DRFMC.ECLINICALDIRECTPLUS.COM Direct DeSoto Hospital Association

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080616000752 LA Part A Provider - Hospital 2163321829 Practice locations: Mansfield, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669541850. Details of each certification follow.

Hospital certification: CCN 19U118

Legal name
DESOTO HOSPITAL ASSOCIATION
Doing business as
DESOTO REGIONAL HEALTH SYSTEM
Organization structure
CorporationNon-profit
Incorporated
Dec 1, 1949 in LA
Enrollment address
207 Jefferson St
Mansfield, LA 71052-2603
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

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

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Desoto Hospital Associa6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Interoperability endpoints

  • Direct secure messaging: drhs@drfmc.eclinicaldirectplus.com

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Sandra Anderson Individual Corporate DirectorCfo Sep 1, 2010
W-2 Managing EmployeeCfo Jul 1, 2013
Christopher Davis Individual Corporate Officer Nov 15, 2015
Desoto Hospital Association Organization, Mansfield, LA Non-profit Operational/Managerial Control Feb 28, 2022
Larry T Eppler Individual Corporate DirectorCeo Sep 1, 2013

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Desoto Regional Health System Zwolle Rural ClinicZwolle, LA, CCN 193449 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 25, 2004
Desoto Regional Family Medicine LogansportLogansport, LA, CCN 193448 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 1, 1997
Desoto Regional Family Medicine-MansfieldMansfield, LA, CCN 193480 Rural health clinic 5% Or Greater Direct Ownership Interest Dec 21, 2011

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1669541850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 JEFFERSON ST",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710522603",
            "telephone_number": "318-872-4610",
            "fax_number": "318-872-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 JEFFERSON ST",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710522603",
            "telephone_number": "318-872-4610",
            "fax_number": "318-872-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOTO HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "318-270-3250"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DRHS@DRFMC.ECLINICALDIRECTPLUS.COM",
            "affiliation": "Y",
            "affiliationName": "DeSoto Hospital Association",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "207 Jefferson St",
            "city": "Mansfield",
            "state": "LA",
            "country_code": "US",
            "postal_code": "710522603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Desoto Regional Health System",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Desoto Regional Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, LA

Sources for this page

Verify at the official NPI Registry.