Prairieville General Hospital, LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

PRAIRIEVILLE GENERAL HOSPITAL, LLC

Practice address

37358 Market Place Drive
Prairieville, LA 70769

Phone

(225) 755-9765

NPI assigned

Nov 1, 2018

Organization subpart

No

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

Authorized official

Name

Liza J Castano

Title

Coo

Phone

(512) 468-2432

Specialties & licenses 2

Addresses

Other names 1

• Prairieville Family Hospital Doing business as

Tax ID family

Prairieville Family Hospital2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prairieville General Hospital, LLC

  • Diagnostic Radiology Physician
  • Prairieville, LA
  • NPI 1912611021
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Caleist Soud, DO

  • Emergency Medicine Physician
  • Shreveport, LA
  • NPI 1427097930

  Emergency Medicine

  NPD

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1750858387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37358 MARKET PLACE DRIVE",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "70769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37358 MARKET PLACE DRIVE",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "70769",
            "telephone_number": "225-755-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIEVILLE GENERAL HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "CASTANO",
        "authorized_official_first_name": "LIZA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "512-468-2432"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairieville Family Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cori Planchard
• Angelle Marie Plauche, M.C.D., CCC-SLP
• Rene August Ponsaa III, ATC, LAT
• Jasmine Porter
• Prairieville Emergency Physicians, PLLC
• Prairieville General Hospital, LLC
• Prairieville Pharmacy LLC
• Premier Health & Wellness Group, LLC
• Premier South Rehabilitation Services, LLC
• Joseph Corbin Prestidge, PA-C

• All providers in Prairieville, LA
• General Acute Care Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.