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
Last updated
Mar 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

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 with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100617000487 AR Part A Provider - Critical Access Hospital 6305854878 Practice locations: Tallulah, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851393409. Details of each certification follow.

Hospital certification: CCN 191314

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

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).

Care Compare: Hospital

Medicare Care Compare
Listed as
Madison Parish HospitalCCN 191314 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Madison Parish Hospital Service District3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 6

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 26

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

View all 26

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallulah, LA

Sources for this page

Verify at the official NPI Registry.