NPIMap

Organization Active NPI

Desoto Hospital Association

Doing business as DeSoto Regional Health System

  • General Acute Care Hospital
  • Mansfield, LA
National Provider Identifier
1679730667
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
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
May 19, 2008
Last updated
Nov 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Authorized official

Name
Christopher Davis
Title
VP of Finiance
Phone
(318) 872-2700

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X
General Acute Care Hospital 282N00000X 229 LA
General Acute Care Hospital 282N00000X 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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040102000229 LA Part B Supplier - Clinic/Group Practice 2163321829 Receives reassigned benefits from 56 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mansfield, LA

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Virgie L Lee MD6 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.

Locations

110 Main St
Logansport, LA 71049
Phone (318) 872-0747

1015 Obrie St
Zwolle, LA 71486
Phone (318) 256-7383

Practitioners & affiliated clinicians

Practitioners 57

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.

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1679730667",
    "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": "2008-05-19",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "VP OF FINIANCE",
        "authorized_official_telephone_number": "318-872-2700"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "LA",
            "license": "229",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.