NPIMap

Organization Active NPI

Kemper, Cah, Inc.

Doing business as Ochsner Health Center-Marion

  • Rural Health Clinic/Center
  • Marion, MS
National Provider Identifier
1669812962
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
KEMPER, CAH, INC.
Doing business as
Ochsner Health Center-Marion
Practice address
5334 Dale Dr
Marion, MS 39342-9604
Phone
(601) 703-0130
Fax
(601) 703-0133
NPI assigned
Jul 1, 2013
Last updated
Apr 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Don Larkin Kennedy
Title
Regional Ceo
Phone
(601) 703-9614

Specialties & licenses 1

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

Addresses

Primary practice location

5334 Dale Dr
Marion, MS 39342-9604

Mailing address

Dept 3019, P O Box 1000
Memphis, TN 38148-3019
Phone (601) 213-3010

Other names 1

  • Ochsner Health Center-Marion Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110622000294 MS Part B Supplier - Clinic/Group Practice 5991985012 Receives reassigned benefits from 92 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: De Kalb, MS; Marion, MS; Meridian, MS
O20130828000753 MS Part A Provider - Rural Health Clinic 5991985012 Practice locations: Marion, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669812962. Details of each certification follow.

Rural health clinic certification: CCN 258565

Legal name
KEMPER CAH, INC.
Doing business as
OCHSNER HEALTH CENTER-MARION
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 18, 2012
Last certification
Mar 24, 2026
Ownership / control type
2B
Most recent change of ownership
Aug 1, 2013 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Sep 29, 2008 in MS
Enrollment address
5334 Dale Dr
Marion, MS 39342-9604
Related CCNs
251335

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

Other NPIs with the same Medicare PAC ID 6

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
25D2027097Ochsner Health Center - Marion5334 Dale Drive, Marion, MS 39342Certificate of waiverNov 30, 2026

National Provider Directory

National Provider Directory

Locations

1500 Highway 19 N
Meridian, MS 39307
Phone (601) 483-5353

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Johnathan Y Lee Individual Corporate OfficerRegional Chief Executive Officer Jul 1, 2022
Corporate DirectorGoverning Board,Rush Health Systems Jul 1, 2022
Operational/Managerial ControlGoverning Board, Rush Health System Jul 1, 2022
Kristin K. Molony Individual W-2 Managing EmployeeAdministrator Jul 1, 2022
Operational/Managerial ControlAdministrator Jul 1, 2022
Michael F Hulefeld Individual Corporate OfficerPresident, Coo Nov 1, 2022
Corporate DirectorMember of Governing Boad Jul 1, 2022
Operational/Managerial ControlMember of Governing Board Jul 1, 2022
Faye Martin Individual Corporate DirectorGoverning Board,Rush Health Systems Jul 1, 2022
Operational/Managerial ControlGoverning Board,Rush Health Systems Jul 1, 2022
Ochsner Clinic Foundation Organization, New Orleans, LA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2022 100%
Operational/Managerial Control Jul 1, 2022
Alan Gartrell Individual Corporate DirectorGoverning Board,Rush Health Systems Jul 1, 2022
Operational/Managerial ControlGoverning Board,Rush Health Systems Jul 1, 2022
Peter C November Individual Corporate OfficerChief Executive Officer Nov 1, 2022
Corporate DirectorMember of Governing Board Jul 1, 2022
Operational/Managerial ControlMember of Governing Board Jul 1, 2022
James M Molloy Individual Corporate OfficerExecutive VP, Cfo, Treasurer Jan 1, 2024
Darrell Wildman Individual Corporate DirectorGoverning Board,Rush Health Systems Jul 1, 2022
Operational/Managerial ControlGoverning Board,Rush Health Systems Jul 1, 2022
Don L Kennedy Individual Corporate OfficerRegional Chief Executive Officer Jul 1, 2022
W-2 Managing EmployeeRegional Chief Executive Officer,Ru Jul 1, 2022
Operational/Managerial ControlRegional Chief Executive Officer,Ru Jul 1, 2022
Rush Health Systems Inc Organization, Meridian, MS Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2022 100%
Operational/Managerial Control Aug 1, 2013
David L Butler Individual Corporate OfficerChief Financial Officer,Rush Hea Jul 1, 2022
W-2 Managing EmployeeChief Financial Officer,Rush Health Jul 1, 2022
Operational/Managerial ControlChief Financial Officer,Rush Health Jul 1, 2022

Owners & managing parties with NPI records 1

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

Facilities with the same owner 28

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

View all 28

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1669812962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 3019, P O BOX 1000",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381483019",
            "telephone_number": "601-213-3010",
            "fax_number": "601-213-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5334 DALE DR",
            "city": "MARION",
            "state": "MS",
            "postal_code": "393429604",
            "telephone_number": "601-703-0130",
            "fax_number": "601-703-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMPER, CAH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "LARKIN",
        "authorized_official_title_or_position": "REGIONAL CEO",
        "authorized_official_telephone_number": "601-703-9614"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ochsner Health Center-Marion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, MS

Sources for this page

Verify at the official NPI Registry.