NPIMap

Organization Active NPI

Springhill Medical Services, Inc.

Doing business as Muddy Bottoms Clinic

  • Primary Care Clinic/Center
  • Sarepta, LA
National Provider Identifier
1699191999
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
441 Issued in LA
Legal business name
SPRINGHILL MEDICAL SERVICES, INC.
Doing business as
Muddy Bottoms Clinic
Practice address
369 Muddy Bottoms Drive
Sarepta, LA 71071
Phone
(318) 539-1000
Fax
(318) 539-4085
NPI assigned
Mar 11, 2014
Last updated
Jun 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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

Authorized official

Name
Mr. Vincent Robert Sedmink
Title
Ceo
Phone
(318) 539-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 441 LA Primary

Addresses

Primary practice location

369 Muddy Bottoms Drive
Sarepta, LA 71071

Mailing address

2001 Doctors Dr
Springhill, LA 71075-4526
Phone (318) 539-1000

Other names 1

  • Muddy Bottoms Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031010000007 LA Part A Provider - Hospital 6002728912 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Springhill, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699191999. Details of each certification follow.

Hospital certification: CCN 190088

Legal name
SPRINGHILL MEDICAL SERVICES, INC.
Doing business as
SPRINGHILL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Aug 10, 1966
Last certification
Jun 1, 2024
Beds
48
Ownership / control type
Private (not for profit)
Most recent change of ownership
Nov 17, 2000 (2 total)
Organization structure
CorporationNon-profit
Incorporated
Nov 17, 2000 in LA
Enrollment address
2001 Doctors Dr
Springhill, LA 71075-4526
Other Hospital Practice Location
Hospital subgroups
Acute care

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Springhill Medical CenterCCN 190088 · All quality measures
Overall star rating
4 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

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Robert N Smith Individual Corporate DirectorDirector Aug 1, 2021 9.09%
Jerry Sessions Individual Corporate Director Jan 1, 2017 9.09%
Peter B Johnson Individual Corporate OfficerChief Executive Officer Oct 9, 2021 50%
Operational/Managerial ControlChief Executive Officer Oct 9, 2021 25%
Robert Bush Individual Corporate Director Nov 17, 2000 9.09%
Robert Colvin Individual Corporate Director Nov 17, 2000 9.09%
Springhill Medical Services, Inc. Organization, Springhill, LA Created for acquisition, Non-profit 5% Or Greater Direct Ownership Interest Nov 17, 2000 100%
Royce W McMahen Individual Corporate Director Nov 17, 2000 9.09%
David K Anderson Individual Corporate Director Nov 17, 2000 9.09%
William R Huddleston Individual Corporate Director Jan 1, 2017 9.09%
Elizabeth L Stephens Individual Corporate Director Nov 1, 2012 9.09%
Willie Lynd Individual Corporate Director Jan 1, 2017 9.09%
Mary D Armwood Individual Corporate Director Nov 17, 2000 9.09%
Kristin Cole Individual Corporate OfficerChief Nursing Officer Feb 1, 2019 25%
Operational/Managerial ControlChief Nursing Officer Feb 1, 2019 25%
Patricia a McMurray Individual Corporate Officer Jan 1, 2017 9.09%
Brian a Griffin Individual Corporate OfficerChief Financial Officer Jan 31, 2022 25%
Operational/Managerial ControlChief Financial Officer Jan 31, 2022 25%

Owners & managing parties with NPI records 7

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

Practitioners & affiliated clinicians

Affiliated clinicians 108

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

View all 108

NPI Registry JSON

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1699191999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 DOCTORS DR",
            "city": "SPRINGHILL",
            "state": "LA",
            "postal_code": "710754526",
            "telephone_number": "318-539-1000",
            "fax_number": "318-539-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 MUDDY BOTTOMS DRIVE",
            "city": "SAREPTA",
            "state": "LA",
            "postal_code": "71071",
            "telephone_number": "318-539-1000",
            "fax_number": "318-539-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGHILL MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "SEDMINK",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-539-1001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Muddy Bottoms Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarepta, LA

Sources for this page

Verify at the official NPI Registry.