Ochsner Bayou, LLC

Organization Active NPI Critical Access Hospital · Raceland, LA

NPI 1720133234 · NPPES record last updated May 24, 2023

Key facts

NPI
1720133234
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
594 (LA)
Legal business name
OCHSNER BAYOU, LLC
Practice address
4608 Highway 1
Raceland, LA 70394-2623
Phone
(985) 537-6841
Fax
(985) 537-8273
NPI assigned
Jan 24, 2007
Organization subpart
No

Authorized official

Name
Mr. Fernis Leblanc
Title
Ceo
Phone
(985) 537-2684

Owners & managing parties with NPI records 4

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

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 5

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.

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

Facilities with the same owner 74

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

View all 74

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Hospital certification: CCN 19Z324

Legal name
OCHSNER BAYOU LLC
Doing business as
OCHSNER ST. ANNE GENERAL HOSPITAL
Organization structure
LLC · Non-profit
Incorporated
Mar 3, 2006 in LA
Enrollment address
4608 Highway 1
Raceland, LA 70394-2623
Hospital Swing-Bed Unit

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Ochsner Bayou LLC
Organization · New Orleans, LA
Created for acquisition, LLC
5% Or Greater Direct Ownership Interest Mar 3, 2006
Operational/Managerial Control Mar 3, 2006
Michael F Hulefeld
Individual
Corporate Officer
President & Coo
Nov 2, 2022
Other
Chain Home Office Administrator
Jan 1, 2018
Peter C November
Individual
Corporate Officer
Chief Executive Officer
Nov 1, 2022
James M Molloy
Individual
Corporate Officer
Evp-Cfo & Treasurer
Jan 1, 2024
Ochsner Clinic Foundation
Organization · New Orleans, LA
Corporation, Non-profit
5% Or Greater Indirect Ownership Interest May 1, 2006 100%
Operational/Managerial Control May 1, 2006 100%
Other Jan 1, 2018
Fernis J Leblanc
Individual
Corporate Officer
Interim Chief Executive Officer
Nov 30, 2022
W-2 Managing Employee
Interim Chief Executive Officer
Nov 30, 2022
Operational/Managerial Control
Interim Chief Executive Officer
Nov 30, 2022

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ochsner St. Anne General Hospital
Raceland, LA · CCN 19M324
Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Mar 3, 2006
Mar 3, 2006

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20080222000172 LA Part a Provider - Critical Access Hospital 0244242840 Practice locations: Raceland, LA

National Provider Directory

Tax ID family
Ochsner Bayou LLC (6 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 594 LA Yes

Addresses

Primary practice location

4608 Highway 1
Raceland, LA 70394-2623

Mailing address

4608 Highway 1
Raceland, LA 70394-2623
Phone (985) 537-6841

Other names

  • Ochsner St Anne General Hospital Doing business as

Electronic endpoints

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

Other providers in Raceland, LA

All providers in Raceland, LA · Critical Access Hospital in Louisiana

Sources for this page

Verify at the official NPI Registry.