Active NPI
Iasis Glenwood Regional Medical Center LP
- Skilled Nursing Facility
- West Monroe, LA
National Provider Identifier
1821143850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- IASIS GLENWOOD REGIONAL MEDICAL CENTER LP
- Practice address
- 503 McMillan Rd
West Monroe, LA 71291-5327 - Phone
- (318) 329-4200
- Fax
- (318) 329-4710
- NPI assigned
- Jan 23, 2007
- Organization subpart
- Yes
- Parent organization
- IASIS GLENWOOD REGIONAL MEDICAL CENTER LP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeremy M Tinnerello
- Title
- Hospital Ceo
- Phone
- (318) 329-4200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
503 McMillan Rd
West Monroe, LA 71291-5327
Mailing address
503 McMillan Road
Attn: Billing
West Monroe, LA 71291-5327
Phone (318) 329-4200
National Provider Directory
National Provider Directory- Part of
- Iasis Glenwood Reg Med Ctr
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Acute Care Hospital
- West Monroe, LA
- NPI 1487706214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522800000000",
"number": "1821143850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 MCMILLAN ROAD",
"address_2": "ATTN: BILLING",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712915327",
"telephone_number": "318-329-4200",
"fax_number": "318-329-4710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 MCMILLAN RD",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712915327",
"telephone_number": "318-329-4200",
"fax_number": "318-329-4710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IASIS GLENWOOD REGIONAL MEDICAL CENTER LP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "IASIS GLENWOOD REGIONAL MEDICAL CENTER LP",
"enumeration_date": "2007-01-23",
"last_updated": "2018-04-04",
"status": "A",
"authorized_official_last_name": "TINNERELLO",
"authorized_official_first_name": "JEREMY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "HOSPITAL CEO",
"authorized_official_telephone_number": "318-329-4200"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.