Catahoula Parish Hospital District No 2
Organization Active NPI Federally Qualified Health Center (FQHC) · Ferriday, LA
NPI 1891499356 · NPPES record last updated Mar 29, 2023
Key facts
- NPI
- 1891499356
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- CATAHOULA PARISH HOSPITAL DISTRICT NO 2
- Practice address
- 1820 Ee Wallace Blvd N
Ferriday, LA 71334-2265 - Phone
- (318) 389-5727
- Fax
- (318) 389-9943
- NPI assigned
- Mar 29, 2023
- Organization subpart
- Yes
- Parent organization (as reported)
- CATAHOULA PARISH HOSPITAL DISTRICT NO 2
Authorized official
- Name
- Michelle Price Brown
- Title
- Billing Supervisor/Credentialing
- Phone
- (318) 389-5727
Owned or controlled facilities with NPI records 3
Other NPIs on the same Medicare enrollment 5
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 6
Practitioners 13
-
Huey H Moak, MD
-
Lisa Cazalot, APRN, FNP, C
-
Sarah Duncan, APRN-CNP
-
Alexandra Paige Frey, FNP
-
Susan Adams Howard, FNP-C
-
Ashley B Olivier, FNP
-
Roger A. Smith, M.D.
-
Lalisa Wade, FAMILY NURSE PRACTIT
-
Ruby Iva Ward, CRNP
-
Brenda Lee Brown, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in LA
Federally qualified health center certification: CCN 191155
- Legal name
- CATAHOULA PARISH HOSPITAL DISTRICT NO 2
- Doing business as
- OUTPATIENT BEHAVIORAL SERVICES
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Sep 8, 2023
- Last certification
- Sep 8, 2023
- Ownership / control type
- For profit – corporation
- Organization structure
- Government · Non-profit
- Incorporated
- Feb 10, 2006 in LA
- Enrollment address
- 1820 Ee Wallace Blvd N
Ferriday, LA 71334-2265
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Renee Ford |
Corporate Officer | Jan 1, 1985 | |
| Debra Miesch |
Corporate Officer |
Sep 2, 2014 | |
| Michelle P Brown |
W-2 Managing Employee | May 1, 2001 |
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Ferriday Family Health Center |
Federally qualified health center | Operational/Managerial Control | Jul 12, 2010 |
| Jonesville Medical Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (25%) | Jan 1, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
| O20231012002566 | LA | Part a Provider - Federally Qualified Health Center (FQHC) | 8729067434 | Practice locations: Ferriday, LA |
National Provider Directory
- Tax ID family
- Catahoula Parish Hospit
- Part of
- Catahoula Parish Hospit
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
1820 Ee Wallace Blvd N
Ferriday, LA 71334-2265
Mailing address
PO Box 8
Sicily Island, LA 71368-0008
Phone (318) 389-5727
Other names
- OUTPATIENT BEHAVIORAL SERVICES
Other providers in Ferriday, LA
- Sophie Burris
- C&C Investment Holdings LLC
- Lora Canty
- Catahoula Parish Hospital District No 2
- Catahoula Parish Hospital District No 2
- Nearther Marie Ceasor
- Kennedy Poole Chapman
- Jordyn Leigh Clayton
- Robert W Clayton III
- Tamaro Hudson Cleveland
All providers in Ferriday, LA · Federally Qualified Health Center (FQHC) in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.