NPIMap

Organization Active NPI

Catahoula Parish Hospital District No 2

Doing business as Outpatient Behavioral Services

  • Federally Qualified Health Center (FQHC)
  • Ferriday, LA
National Provider Identifier
1891499356
Registry record updated Mar 29, 2023
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
Doing business as
Outpatient Behavioral Services
Practice address
1820 Ee Wallace Blvd N
Ferriday, LA 71334-2265
Phone
(318) 389-5727
Fax
(318) 389-9943
NPI assigned
Mar 29, 2023
Last updated
Mar 29, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CATAHOULA PARISH HOSPITAL DISTRICT NO 2As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Michelle Price Brown
Title
Billing Supervisor/Credentialing
Phone
(318) 389-5727

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
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 1

  • OUTPATIENT BEHAVIORAL SERVICES Doing business as

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
O20231012002566 LA Part A Provider - Federally Qualified Health Center (FQHC) 8729067434 Practice locations: Ferriday, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891499356. Details of each certification follow.

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
GovernmentNon-profit
Incorporated
Feb 10, 2006 in LA
Enrollment address
1820 Ee Wallace Blvd N
Ferriday, LA 71334-2265

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.

National Provider Directory

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

Other organizations with this tax ID 6

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

Locations

307 Chisum St
Sicily Island, LA 71368
Phone (318) 389-5727

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Renee Ford Individual Corporate Officer Jan 1, 1985
Debra Miesch Individual Corporate OfficerCeo Sep 2, 2014
Michelle P Brown Individual W-2 Managing Employee May 1, 2001

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ferriday Family Health CenterFerriday, LA, CCN 191846 Federally qualified health center Operational/Managerial Control Jul 12, 2010
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 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1891499356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "SICILY ISLAND",
            "state": "LA",
            "postal_code": "713680008",
            "telephone_number": "318-389-5727",
            "fax_number": "318-389-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 EE WALLACE BLVD N",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713342265",
            "telephone_number": "318-389-5727",
            "fax_number": "318-389-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATAHOULA PARISH HOSPITAL DISTRICT NO 2",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATAHOULA PARISH HOSPITAL DISTRICT NO 2",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "PRICE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR/CREDENTIALING",
        "authorized_official_telephone_number": "318-389-5727"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OUTPATIENT BEHAVIORAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ferriday, LA

Sources for this page

Verify at the official NPI Registry.