Organization Active NPI

Acadia General Hospital, Inc.

Doing business as Acadia General Hospital

  • General Acute Care Hospital
  • Crowley, LA
National Provider Identifier
1669882940
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
ACADIA GENERAL HOSPITAL, INC.
Doing business as
Acadia General Hospital
Practice address
1305 Crowley Rayne Hwy
Crowley, LA 70526-8202
Phone
(337) 783-3222
Fax
(337) 788-6413
NPI assigned
May 7, 2014
Last updated
Aug 31, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
LAFAYETTE GENERAL HEALTH SYSTEM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
David L Callecod
Title
President, Ceo
Phone
(337) 289-7743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

1305 Crowley Rayne Hwy
Crowley, LA 70526-8202

Mailing address

1305 Crowley Rayne Hwy
Crowley, LA 70526-8202
Phone (337) 783-3222

Other names 1

  • Acadia General Hospital 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 LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140612000546 LA Part A Provider - Hospital 2769606813 Practice locations: Crowley, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669882940. Details of each certification follow.

Hospital certification: CCN 190044

Legal name
ACADIA GENERAL HOSPITAL, INC.
Doing business as
OCHSNER ACADIA GENERAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 9, 2022
Beds
85
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jun 1, 2014 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Feb 25, 2014 in LA
Enrollment address
1305 Crowley Rayne Hwy
Crowley, LA 70526-8202
Other Hospital Practice Location
Hospital subgroups
General

Care Compare: Hospital

Medicare Care Compare
Listed as
Acadia General HospitalCCN 190044 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Acadia General Hospital Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Ramesh Kolluru Individual Corporate DirectorBoard Member Jul 18, 2023
Christopher P Rader Individual Corporate DirectorBoard Member Jul 18, 2023
Frank L Walker Individual Corporate DirectorBoard Member Jul 18, 2023
Melinda B Malmay Individual Corporate DirectorBoard Member Apr 18, 2023
Lafayette General Health System Inc Organization, Lafayette, LA Non-profit 5% Or Greater Direct Ownership Interest Jun 1, 2014 100%
Peter C November Individual Corporate OfficerChief Executive Officer Nov 1, 2022
Stephen a Stefanski Individual Corporate DirectorBoard Member Sep 22, 2014
Reshma a Bhanushali Individual Corporate DirectorBoard Member Jul 18, 2023
Edward Scott Yerger Individual Corporate DirectorBoard Member Jul 18, 2023
Patrick Gandy Individual Corporate OfficerChief Executive Officer Feb 26, 2021
W-2 Managing EmployeeChief Executive Officer Jul 1, 2023
Operational/Managerial ControlChief Executive Officer Jul 1, 2023
James M Molloy Individual Corporate OfficerEvp - Cfo & Treasurer Jan 1, 2024
Molly B Thomas Individual Corporate DirectorBoard Member Jul 18, 2023
Ochsner Clinic Foundation Organization, New Orleans, LA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 100%
Norman J Vascocu Individual Corporate DirectorBoard Member Jul 18, 2023
Wayne B Cestia Individual Corporate DirectorBoard Member Jul 18, 2023
Mary Ellen Henry Individual Corporate Director Jul 18, 2023
Casey Hoyt Individual Corporate DirectorBoard Member Jul 18, 2023

Owners & managing parties with NPI records 6

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

Facilities with the same owner 74

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

View all 74

Practitioners & affiliated clinicians

Practitioners 7

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.

Affiliated clinicians 264

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

View all 264

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1669882940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 CROWLEY RAYNE HWY",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705268202",
            "telephone_number": "337-783-3222",
            "fax_number": "337-788-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 CROWLEY RAYNE HWY",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705268202",
            "telephone_number": "337-783-3222",
            "fax_number": "337-788-6413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIA GENERAL HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAFAYETTE GENERAL HEALTH SYSTEM, INC.",
        "enumeration_date": "2014-05-07",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "CALLECOD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "337-289-7743"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "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": "Acadia General Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Acadia General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crowley, LA

Sources for this page

Verify at the official NPI Registry.