NPIMap

Organization Active NPI

Madison Parish Hospital Service District

  • Critical Access Hospital
  • Tallulah, LA
National Provider Identifier
1851393409
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
143 Issued in LA
Legal business name
MADISON PARISH HOSPITAL SERVICE DISTRICT
Practice address
900 Johnson St
Tallulah, LA 71282-4537
Phone
(318) 574-2374
Fax
(318) 574-2396
NPI assigned
Aug 12, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Satira T Perry, MDNPI 1770673683
Title
Interim Ceo
Phone
(318) 574-5080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Owners & managing parties with NPI records 1

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 4

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

Corporate family (same tax ID) 2

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

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

Practitioners 9

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

Affiliated clinicians 26

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 26

Care Compare: Hospital

Medicare Care Compare
Listed as
Madison Parish HospitalCCN 191314
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Medicare participation

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

Hospital certification: CCN 191314

Medicare enrollment files
Legal name
MADISON PARISH HOSPITAL SERVICE DISTRICT
Doing business as
MADISON PARISH HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 1, 2005
Last certification
Aug 10, 2022
Beds
16
Ownership / control type
Hospital district or authority
Organization structure
GovernmentNon-profit
Enrollment address
900 Johnson St
Tallulah, LA 71282-4537
Other Hospital Practice Location

All disclosed owners & managing parties 6

Medicare enrollment files

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

NameRoleSinceShare
Thomas Mitchell Individual Corporate Officer Oct 10, 2022
Calvin Washington Individual Corporate OfficerVice Chairman Oct 10, 2022
Carlos Ford Individual Corporate Officer Oct 10, 2022
Thomas Cantin Individual Corporate Officer Feb 10, 2025
Satira T Perry Individual Corporate OfficerInterim Ceo Oct 17, 2024
W-2 Managing EmployeeAd; Oct 17, 2024
Jennifer Bolinder Individual Corporate OfficerChairman Oct 10, 2022

All facility ownership & control disclosures 1

Medicare enrollment files

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

FacilityTypeRoleSince
Leonard P. Neumann Jr MD Apmca Rural Health ClinicTallulah, LA, CCN 198524 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 15, 2018

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20100617000487 AR Part a Provider - Critical Access Hospital 6305854878 Practice locations: Tallulah, LA

National Provider Directory

National Provider Directory
Tax ID family
Madison Parish Hospital Service District (3 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 143 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

900 Johnson St
Tallulah, LA 71282-4537

Mailing address

PO Box 1559
900 Johnson St
Tallulah, LA 71284-1559
Phone (318) 574-2374

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
1720119MedicaidLA
60010OtherLABLUE CROSS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2025.

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1851393409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "address_2": "900 JOHNSON ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712841559",
            "telephone_number": "318-574-2374",
            "fax_number": "318-574-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JOHNSON ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712824537",
            "telephone_number": "318-574-2374",
            "fax_number": "318-574-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON PARISH HOSPITAL SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "SATIRA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "318-574-5080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "LA",
            "license": "143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720119",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "60010",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallulah, LA

Sources for this page

Verify at the official NPI Registry.