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
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 5
Member of 1
Related certifications (CCN) 1
Facilities with the same owner 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
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| Ochsner Bayou LLC |
5% Or Greater Direct Ownership Interest | Mar 3, 2006 | |
| Operational/Managerial Control | Mar 3, 2006 | ||
| Michael F Hulefeld |
Corporate Officer |
Nov 2, 2022 | |
| Other |
Jan 1, 2018 | ||
| Peter C November |
Corporate Officer |
Nov 1, 2022 | |
| James M Molloy |
Corporate Officer |
Jan 1, 2024 | |
| Ochsner Clinic Foundation |
5% Or Greater Indirect Ownership Interest | May 1, 2006 | 100% |
| Operational/Managerial Control | May 1, 2006 | 100% | |
| Other | Jan 1, 2018 | ||
| Fernis J Leblanc |
Corporate Officer |
Nov 30, 2022 | |
| W-2 Managing Employee |
Nov 30, 2022 | ||
| Operational/Managerial Control |
Nov 30, 2022 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Ochsner St. Anne General Hospital |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Mar 3, 2006 Mar 3, 2006 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080222000172 | LA | Part a Provider - Critical Access Hospital | 0244242840 | Practice locations: Raceland, LA |
National Provider Directory
- Tax ID family
- Ochsner Bayou LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Raceland, LA
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- Ochsner Clinic LLC
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All providers in Raceland, LA · Critical Access Hospital in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.