NPIMap

CLHG-Ruston LLC

Organization Active NPI General Acute Care Hospital · Ruston, LA

NPI 1962024026 · NPPES record last updated Oct 24, 2025

Key facts

NPI
1962024026
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
Legal business name
CLHG-RUSTON LLC
Practice address
401 E Vaughn Ave
Ruston, LA 71270-5950
Phone
(318) 254-2100
NPI assigned
May 12, 2020
Organization subpart
No

Authorized official

Name
Kathy M Hall
Title
Ceo
Phone
(318) 254-2450

Other NPIs with the same Medicare PAC ID 3

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

Corporate family (same tax ID) 8

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

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

Facilities with the same owner 48

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

View all 48

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 33

Affiliated clinicians 165

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 165

Medicare Care Compare: Hospital

Listed as
Northern Louisiana Medical Center CCN 190086
Overall star rating
★★☆☆☆ 2 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Hospital certification: CCN 190086

Legal name
CLHG-RUSTON LLC
Doing business as
NORTHERN LOUISIANA MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 14, 1966
Last certification
Dec 1, 2022
Beds
65
Ownership / control type
Private (for profit)
Most recent change of ownership
Jul 1, 2020 (4 total)
Organization structure
LLC · Proprietary
Incorporated
Jan 27, 2020 in LA
Enrollment address
401 East Vaughn Ave
Ruston, LA 71270-5950
Other Hospital Practice Location
Hospital subgroups
Acute care

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Donald Cameron
Individual 		Corporate Officer
Board Member/Coo		 Jul 1, 2020
Corporate Director
Board Member/Coo		 Jul 1, 2020
Operational/Managerial Control
Board Member/Coo		 Jul 1, 2020
Rock Bordelon
Individual 		5% Or Greater Direct Ownership Interest Jul 1, 2020 100%
Corporate Officer
Board Member		 Jul 1, 2020
Allegiance Health Management Inc
Organization · Shreveport, LA
Corporation, Management services company 		Operational/Managerial Control Jul 1, 2020
Kathy Hall
Individual 		Corporate Director
Ceo		 Sep 1, 2022 100%
W-2 Managing Employee
Ceo		 Sep 1, 2022 100%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20200722002297 LA Part a Provider - Hospital 7315361425 Practice locations: Ruston, LA

National Provider Directory

Tax ID family
CLHG-Ruston LLC (9 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Yes

Addresses

Primary practice location

401 E Vaughn Ave
Ruston, LA 71270-5950

Mailing address

401 E Vaughn Ave
Ruston, LA 71270-5950
Phone (318) 254-2450

Other names

  • Northern Louisiana Medical Center Doing business as

Other providers in Ruston, LA

All providers in Ruston, LA · General Acute Care Hospital in Louisiana

Sources for this page

Verify at the official NPI Registry.