Organization Active NPI

Lafayette General Surgical Hospital, LLC

  • General Acute Care Hospital
  • Lafayette, LA
National Provider Identifier
1699778985
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
546 Issued in LA
Legal business name
LAFAYETTE GENERAL SURGICAL HOSPITAL, LLC
Practice address
1000 W Pinhook Rd
Lafayette, LA 70503-2460
Phone
(337) 289-8060
Fax
(337) 289-8059
NPI assigned
May 31, 2005
Last updated
May 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Authorized official

Name
Ms. Carolyn H. McBride
Title
PFS Director
Phone
(337) 289-8860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 546 LA Primary

Addresses

Primary practice location

1000 W Pinhook Rd
Lafayette, LA 70503-2460

Mailing address

1000 W Pinhook Rd
Lafayette, LA 70503-2460
Phone (337) 289-8060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699778985. Details of each certification follow.

Hospital certification: CCN 190268

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
LAFAYETTE GENERAL SURGICAL HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Jun 1, 2019
Provider type (POS)
Hospital – Short-term
Participating since
Nov 23, 2004
Last certification
Nov 29, 2017
Beds
10
Ownership / control type
Physician ownership
Facility address
1000 W Pinhook Rd Suite 100
Lafayette, LA 70503

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
19D1024994Lafayette General Surgical Hospital1000 West Pinhook Road, Lafayette, LA 70503Certificate of waiverApr 26, 2028

National Provider Directory

National Provider Directory

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1699778985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W PINHOOK RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032460",
            "telephone_number": "337-289-8060",
            "fax_number": "337-289-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W PINHOOK RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032460",
            "telephone_number": "337-289-8060",
            "fax_number": "337-289-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE GENERAL SURGICAL HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PFS DIRECTOR",
        "authorized_official_telephone_number": "337-289-8860",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "LA",
            "license": "546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.