NPIMap

Organization Active NPI

CLHG-Avoyelles, LLC

Doing business as Avoyelles Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Marksville, LA
National Provider Identifier
1861446726
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
CLHG-AVOYELLES, LLC
Doing business as
Avoyelles Hospital
Practice address
4231 Highway 1192
Marksville, LA 71351-4711
Phone
(318) 253-8611
Fax
(318) 240-6077
NPI assigned
May 22, 2006
Last updated
Jan 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Douglas E. Lahasky
Title
Cfo
Phone
(318) 240-6147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

4231 Highway 1192
Marksville, LA 71351-4711

Mailing address

P.O. Box 429
Marksville, LA 71351-0249
Phone (318) 253-8611

Other names 1

  • Avoyelles Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170202001451 LA Part A Provider - Hospital 8921380528 Practice locations: Marksville, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861446726. Details of each certification follow.

Hospital certification: CCN 19U099

Legal name
CLHG-AVOYELLES LLC
Doing business as
AVOYELLES HOSPITAL
Organization structure
LLCProprietary
Incorporated
in LA
Enrollment address
4231 Hwy 1192
Marksville, LA 71351
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

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

Other NPIs with the same Medicare PAC ID 8

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

National Provider Directory

National Provider Directory
Tax ID family
CLHG-Avoyelles LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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
Donald Cameron Individual 5% Or Greater Direct Ownership Interest Sep 1, 2016 30%
Corporate OfficerBoard Member Sep 1, 2016
Rock Bordelon Individual 5% Or Greater Direct Ownership Interest Sep 1, 2016 65%
Corporate OfficerBoard Member Sep 1, 2016
Allegiance Health Management Inc Organization, Bossier City, LA Corporation Operational/Managerial Control Sep 1, 2016
Timothey Curry Individual W-2 Managing EmployeeChief Executive Officer Oct 15, 2018
Operational/Managerial ControlChief Executive Officer Oct 15, 2018
Scott Markstrom Individual 5% Or Greater Direct Ownership Interest Sep 1, 2016 5%
Corporate OfficerBoard Member Sep 1, 2016
Cameron Investments LLC Organization, Shreveport, LA LLC 5% Or Greater Direct Ownership Interest Sep 1, 2016 30%

Facilities with the same owner 53

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1861446726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 429",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713510249",
            "telephone_number": "318-253-8611",
            "fax_number": "318-240-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4231 HIGHWAY 1192",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713514711",
            "telephone_number": "318-253-8611",
            "fax_number": "318-240-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLHG-AVOYELLES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "LAHASKY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "318-240-6147"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avoyelles Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marksville, LA

Sources for this page

Verify at the official NPI Registry.