NPIMap

Organization Active NPI

Catahoula Parish Hospital District No 2

  • Federally Qualified Health Center (FQHC)
  • Ferriday, LA
National Provider Identifier
1861531014
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CATAHOULA PARISH HOSPITAL DISTRICT NO 2
Practice address
100 Serio Blvd
Ferriday, LA 71334-2253
Phone
(318) 757-6969
Fax
(318) 757-6966
NPI assigned
Feb 5, 2007
Last updated
May 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Authorized official

Name
Debra K Miesch, MBA
Title
Ceo
Phone
(318) 389-5727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X LA Primary

Addresses

Primary practice location

100 Serio Blvd
Ferriday, LA 71334-2253

Mailing address

100 Serio Blvd
Ferriday, LA 71334-2253
Phone (318) 757-6969

Other identifiers 3

IdentifierTypeStateIssuer
1448371MedicaidLA
1903191MedicaidLA
10464OtherLABLUE CROSS LA

Other names 1

  • Catahoula Parish Hospital Dist #2 Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040716000202 LA Part B Supplier - Clinic/Group Practice 8729067434 Receives reassigned benefits from 20 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ferriday, LA; Wisner, LA; Sicily Island, LA; Harrisonburg, LA; Jonesville, LA
O20101113000178 LA Part A Provider - Federally Qualified Health Center (FQHC) 8729067434 1 other NPI on this enrollment
Practice locations: Ferriday, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861531014. Details of each certification follow.

Federally qualified health center certification: CCN 191846

Legal name
CATAHOULA PARISH HOSPITAL DISTRICT NO 2
Doing business as
FERRIDAY FAMILY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 10, 2006
Last certification
Feb 10, 2006
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Feb 10, 2006 in LA
Enrollment address
100 Serio Blvd
Ferriday, LA 71334-2013
Related CCNs
191810

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

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
19D2042126Ferriday Family Health Center100 Serio Boulevard, Ferriday, LA 71334AccreditationJan 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Catahoula Parish Hospit7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

112 Serio Blvd
Ferriday, LA 71334
Phone (318) 389-5727

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Eric Price Individual Corporate Director Mar 16, 2011
Kathryn Crews Individual Corporate Director Jul 13, 2010
Sharon Gilmore Individual Corporate Director Jul 13, 2010
Clara Valentine Individual Corporate Director Jul 13, 2010
Renee Ford Individual W-2 Managing Employee Jul 13, 2010
Debra Miesch Individual 5% Or Greater Direct Ownership InterestCeo Nov 20, 2014 5%
Michelle P Brown Individual W-2 Managing EmployeeBilling Specialist Jan 1, 2015 5%
Catahoula Parish Hospital District No 2 Organization, Sicily Island, LA Operational/Managerial Control Jul 12, 2010
Marc McCarty Individual Corporate Director Jul 13, 2010
Trellis Brass Individual Corporate Director Jul 13, 2010
Jackie Myers Individual Corporate Director Jul 13, 2010

Owners & managing parties with NPI records 5

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
Jonesville Medical CenterJonesville, LA, CCN 191947 Federally qualified health center 5% Or Greater Direct Ownership Interest (25%) Jan 1, 2015

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1861531014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SERIO BLVD",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713342253",
            "telephone_number": "318-757-6969",
            "fax_number": "318-757-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SERIO BLVD",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713342253",
            "telephone_number": "318-757-6969",
            "fax_number": "318-757-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATAHOULA PARISH HOSPITAL DISTRICT NO 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "MIESCH",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-389-5727",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1448371",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1903191",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS LA",
            "identifier": "10464",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catahoula Parish Hospital Dist #2",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ferriday, LA

Sources for this page

Verify at the official NPI Registry.