NPIMap

Organization Active NPI

Stonebridge Health Systems, LLC

Doing business as South Cameron Memorial Hospital

  • Rural Acute Care Hospital
  • Cameron, LA
National Provider Identifier
1891126728
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
Legal business name
STONEBRIDGE HEALTH SYSTEMS, LLC
Doing business as
South Cameron Memorial Hospital
Practice address
5360 W Creole Hwy Ste 2
Cameron, LA 70631-5127
Phone
(337) 564-6770
Fax
(337) 564-6771
NPI assigned
Dec 3, 2013
Last updated
Feb 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Authorized official

Name
Mrs. Leslie Trahan
Title
Manager/Member
Phone
(337) 542-4111

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X NU
Rural Acute Care Hospital 282NR1301X NU Primary
Emergency Medicine Physician 207P00000X 2203782007 LA
Hospitalist Physician 208M00000X 2203782007 LA

Addresses

Primary practice location

5360 W Creole Hwy Ste 2
Cameron, LA 70631-5127

Mailing address

5360 West Creole Hwy
Cameron, LA 70631-8785
Phone (337) 542-4111

Other identifiers 2

IdentifierTypeStateIssuer
2700057MedicaidLA
2700065MedicaidLA

Other names 1

  • South Cameron Memorial Hospital Doing business as

National Provider Directory

National Provider Directory

Locations

5360 W Creole Hwy
Ste 2
Cameron, LA 70631
Phone (337) 564-6770

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1891126728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 WEST CREOLE HWY",
            "city": "CAMERON",
            "state": "LA",
            "postal_code": "706318785",
            "telephone_number": "337-542-4111",
            "fax_number": "337-542-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 W CREOLE HWY STE 2",
            "city": "CAMERON",
            "state": "LA",
            "postal_code": "706315127",
            "telephone_number": "337-564-6770",
            "fax_number": "337-564-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEBRIDGE HEALTH SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "TRAHAN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "337-542-4111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "2203782007",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "2203782007",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2700057",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2700065",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Cameron Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cameron, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.