NPIMap

Organization Active NPI

Lallie Kemp Medical Ctr

Doing business as Lallie Kemp Regional Medical Center

  • Critical Access Hospital
  • Independence, LA
National Provider Identifier
1972545846
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
LALLIE KEMP MEDICAL CTR
Doing business as
Lallie Kemp Regional Medical Center
Practice address
52579 Highway 51 S
Independence, LA 70443-2231
Phone
(985) 878-9421
Fax
(985) 878-1263
NPI assigned
Jun 12, 2006
Last updated
Apr 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Dr. Michael K. Butler, M.D.
Title
Acting Ceo
Phone
(225) 922-0775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

52579 Highway 51 S
Independence, LA 70443-2231

Mailing address

52579 Highway 51 S
Independence, LA 70443-2231
Phone (985) 878-9421

Other names 1

  • Lallie Kemp Regional Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220806000589 LA Part A Provider - Critical Access Hospital 0345238903 Practice locations: Independence, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972545846. Details of each certification follow.

Hospital certification: CCN 19Z321

Legal name
LALLIE KEMP MEDICAL CTR
Organization structure
GovernmentProprietary
Enrollment address
52579 Highway 51 S
Independence, LA 70443-2231
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory

Locations

52579 Highway 51 S
Independence, LA 70443
Phone (985) 878-1349

Ownership & related parties

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
Louisiana State University Health Sciences Center - Health Care Servic Organization, Baton Rouge, LA Corporation Operational/Managerial Control Jul 16, 2007
Michael Carter Individual W-2 Managing Employee Sep 21, 2007
Chad Thompson Individual W-2 Managing Employee Sep 21, 2007
Sherre Pack-Hookfin Individual W-2 Managing Employee Sep 21, 2007

Facilities with the same owner 1

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

  • Lallie Kemp Medical Ctr

    dba Lallie Kemp Regional Medical Center

    • Critical Access Hospital
    • Independence, LA
    • NPI 1083661409

    Louisiana State University Health Sciences Center - Health Care Servic

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 104

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.

View all 104

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1972545846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52579 HIGHWAY 51 S",
            "city": "INDEPENDENCE",
            "state": "LA",
            "postal_code": "704432231",
            "telephone_number": "985-878-9421",
            "fax_number": "985-878-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52579 HIGHWAY 51 S",
            "city": "INDEPENDENCE",
            "state": "LA",
            "postal_code": "704432231",
            "telephone_number": "985-878-9421",
            "fax_number": "985-878-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LALLIE KEMP MEDICAL CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ACTING CEO",
        "authorized_official_telephone_number": "225-922-0775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lallie Kemp Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, LA

Sources for this page

Verify at the official NPI Registry.