NPIMap

Organization Active NPI

Sterlington Critical Access Hospital, L.L.C.

  • Rural Health Clinic/Center
  • Bastrop, LA
National Provider Identifier
1669658571
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
STERLINGTON CRITICAL ACCESS HOSPITAL, L.L.C.
Practice address
370 W Hickory Ave
Bastrop, LA 71220-4442
Phone
(186) 659-9950
Fax
(186) 665-0379
NPI assigned
Jan 10, 2008
Organization subpart
Yes
Parent organization
STERLINGTON CRITICAL ACCESS HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Catherine M Waldrop
Title
Administrator/Ceo
Phone
(318) 665-9950

Specialties & licenses 1

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

Addresses

Primary practice location

370 W Hickory Ave
Bastrop, LA 71220-4442

Mailing address

370 W Hickory Ave
Bastrop, LA 71220-4442
Phone (186) 659-9950

Other names 1

  • Bastrop Outpatient 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
O20080221000208 LA Part A Provider - Rural Health Clinic 4486652385 Practice locations: Bastrop, LA
O20130520000548 LA Part B Supplier - Clinic/Group Practice 4486652385 Receives reassigned benefits from 15 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bastrop, LA

Rural health clinic certification: CCN 193484

Legal name
STERLINGTON CRITICAL ACCESS HOSPITAL LLC
Doing business as
BASTROP OUTPATIENT RURAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 25, 2011
Last certification
Jun 13, 2023
Ownership / control type
1B
Organization structure
LLCProprietary
Incorporated
Jan 5, 2001 in LA
Enrollment address
355 W Hickory Ave
Bastrop, LA 71220-4441
Related CCNs
193069

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

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
19D2025672Bastrop Outpatient Rural Health Clinic355 West Hickory, Bastrop, LA 71220Certificate of waiverJun 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Sterlington Critical Access3 organizations share this tax ID, including this one
Part of
Sterlington Critical Access

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
John M Lipka Individual 5% Or Greater Direct Ownership Interest Mar 1, 2008
Sterlington Critical Access Hospital LLC Organization, Bastrop, LA 5% Or Greater Direct Ownership Interest Mar 1, 2008
Allen L Spires Individual 5% Or Greater Direct Ownership Interest Mar 1, 2008
Corporate Director Mar 1, 2008
George Webb Individual 5% Or Greater Direct Ownership Interest Mar 1, 2008
Catherine M Waldrop Individual Corporate Director Mar 1, 2008
W-2 Managing EmployeeCeo Jun 1, 2004 100%
Operational/Managerial ControlCeo Jun 1, 2004 100%
William Lucky Individual 5% Or Greater Direct Ownership Interest Mar 1, 2008
Corporate Director Mar 1, 2008
Jack C Noble Individual 5% Or Greater Direct Ownership Interest Mar 1, 2008
Corporate Director Mar 1, 2008

Owners & managing parties with NPI records 9

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Sterlington Rural Health ClinicSterlington, LA, CCN 193473 Rural health clinic 5% Or Greater Direct Ownership Interest Mar 15, 2007
Sterlington Rehabilitation HospitalMer Rouge, LA, CCN 193486 Rural health clinic 5% Or Greater Direct Ownership Interest Mar 1, 2008

Owned or controlled facilities with NPI records 2

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

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1669658571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 W HICKORY AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204442",
            "telephone_number": "186-659-9950",
            "fax_number": "186-665-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 W HICKORY AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204442",
            "telephone_number": "186-659-9950",
            "fax_number": "186-665-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLINGTON CRITICAL ACCESS HOSPITAL, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STERLINGTON CRITICAL ACCESS HOSPITAL",
        "enumeration_date": "2008-01-10",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "WALDROP",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "318-665-9950"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bastrop Outpatient Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bastrop Outpatient Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bastrop, LA

Sources for this page

Verify at the official NPI Registry.