NPIMap

Organization Active NPI

Lasalle Parish Hospital Service District #1

Doing business as Hardtner Family Clinic

  • Rural Health Clinic/Center
  • Urania, LA
National Provider Identifier
1821401241
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
LASALLE PARISH HOSPITAL SERVICE DISTRICT #1
Doing business as
Hardtner Family Clinic
Practice address
15712 Hwy 165
Urania, LA 71480
Phone
(318) 495-3131
NPI assigned
Jun 3, 2014
Last updated
Jan 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Mr. Paul Mathews
Title
Administrator
Phone
(318) 495-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

15712 Hwy 165
Urania, LA 71480

Mailing address

15712 Hwy 165
Olla, LA 71465
Phone (318) 495-3131

Other identifiers 1

IdentifierTypeStateIssuer
2384716MedicaidLA

Other names 1

  • HARDTNER FAMILY CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141008000965 LA Part A Provider - Rural Health Clinic 6709781545 Practice locations: Urania, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821401241. Details of each certification follow.

Rural health clinic certification: CCN 193493

Legal name
LASALLE PARISH HOSPITAL SERVICE DIST NO1
Doing business as
HARDTNER FAMILY CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Feb 10, 2015
Last certification
Feb 10, 2024
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
15712 Hwy 165
Hardtner Family Clinic
Urania, LA 71480-4805
Related CCNs
191315

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

Other NPIs with the same Medicare PAC ID 4

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

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
19D2072589Hardtner Family Clinic15712 Hwy 165, Urania, LA 71480Provider-performed microscopyFeb 2, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Steve Tannehill Individual Corporate DirectorBoard Member Aug 12, 2013
Other Apr 1, 1969 100%
Rick Smotherman Individual Corporate DirectorBoard Member Nov 14, 2005
Other Apr 1, 1969 100%
Michael Duke Individual Corporate DirectorBoard Member Jan 1, 2003
W-2 Managing EmployeeDirector of Nursing/RN Jan 1, 2003
Other Apr 1, 1969 100%
Richard Wilson Individual Corporate DirectorBoard Member Jun 24, 1999
W-2 Managing EmployeeDirector of Nursing/RN Jun 24, 1999
Other Apr 1, 1969
Cherry Salter Individual W-2 Managing EmployeeDirector of Nursing/RN Sep 19, 2014
Other Apr 1, 1969 100%
Paul Mathews Individual Corporate OfficerCeo Jul 1, 2001
Corporate DirectorBoard Member Jul 1, 2001
W-2 Managing EmployeeCeo - Board Member Jul 1, 2001
Other Apr 1, 1969 100%
Lee Richardel Individual Corporate DirectorBoard Member Aug 26, 1986
Other Apr 1, 1969 100%
Leann Cupples Individual W-2 Managing Employee Sep 19, 2014
Other Apr 1, 1969 100%

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1821401241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15712 HWY 165",
            "city": "OLLA",
            "state": "LA",
            "postal_code": "71465",
            "telephone_number": "318-495-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15712 HWY 165",
            "city": "URANIA",
            "state": "LA",
            "postal_code": "71480",
            "telephone_number": "318-495-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASALLE PARISH HOSPITAL SERVICE DISTRICT #1",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-495-3131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2384716",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARDTNER FAMILY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Urania, LA

Sources for this page

Verify at the official NPI Registry.