NPIMap

Organization Active NPI

East Carroll Parish Hospital

Doing business as Family Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Lake Providence, LA
National Provider Identifier
1932889276
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
EAST CARROLL PARISH HOSPITAL
Doing business as
Family Medical Clinic
Practice address
326 N Hood St
Lake Providence, LA 71254-2140
Phone
(318) 559-4024
Fax
(318) 559-4025
NPI assigned
Jul 21, 2023
Last updated
Jul 10, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
EAST CARROLL PARISH HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Ladonna Englerth
Title
Administrator
Phone
(318) 559-4023

Specialties & licenses 1

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

Addresses

Primary practice location

326 N Hood St
Lake Providence, LA 71254-2140

Mailing address

340 N Hood St
Lake Providence, LA 71254-2140
Phone (318) 559-3303

Other identifiers 1

IdentifierTypeStateIssuer
2639781MedicaidLA

Other names 1

  • Family Medical Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231020000044 LA Part A Provider - Federally Qualified Health Center (FQHC) 1153216619 Practice locations: Lake Providence, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932889276. Details of each certification follow.

Federally qualified health center certification: CCN 191166

Legal name
EAST CARROLL PARISH HOSPITAL
Doing business as
FAMILY MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 27, 2023
Last certification
Sep 27, 2023
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Enrollment address
326 N Hood St
Lake Providence, LA 71254-2140

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
East Carroll Ambulance Service4 organizations share this tax ID, including this one
Part of
East Carroll Ambulance Service

Other organizations with this tax ID 3

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

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
Ladonna Englerth Individual Corporate DirectorAdministrator Jul 1, 2023
Lindsay Layton Individual W-2 Managing EmployeeBilling Director Jul 1, 2023
Jennifer Newton Individual Corporate DirectorProject Director Jul 1, 2023
W-2 Managing EmployeeProject Director Jul 1, 2023

NPI Registry JSON

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1932889276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 N HOOD ST",
            "city": "LAKE PROVIDENCE",
            "state": "LA",
            "postal_code": "712542140",
            "telephone_number": "318-559-3303",
            "fax_number": "318-559-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 N HOOD ST",
            "city": "LAKE PROVIDENCE",
            "state": "LA",
            "postal_code": "712542140",
            "telephone_number": "318-559-4024",
            "fax_number": "318-559-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CARROLL PARISH HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST CARROLL PARISH HOSPITAL",
        "enumeration_date": "2023-07-21",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "ENGLERTH",
        "authorized_official_first_name": "LADONNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-559-4023"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2639781",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Providence, LA

Sources for this page

Verify at the official NPI Registry.