Organization Active NPI

Columbia Healthcare Systems of la, Inc

  • Specialist
  • Monroe, LA
National Provider Identifier
1972559888
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
COLUMBIA HEALTHCARE SYSTEMS OF LA, INC
Doing business as
Columbia Healthcare Systems of LA, Inc
Practice address
3418 Medical Park Dr
Ste 3
Monroe, LA 71203-2376
Phone
(318) 325-5661
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Robert R Lagesse
Title
VP
Phone
(318) 325-5661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3418 Medical Park Dr
Ste 3
Monroe, LA 71203-2376

Mailing address

3418 Medical Park Dr
Ste 3
Monroe, LA 71203-2376
Phone (318) 325-5661

Other identifiers 1

IdentifierTypeStateIssuer
5CQ93OtherLAMEDICARE GROUP NUMBER

Other names 1

  • Columbia Healthcare Systems of LA, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

3418 Medical Park Dr
Ste 3
Monroe, LA 71203
Phone (318) 325-5661

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1972559888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 MEDICAL PARK DR",
            "address_2": "STE 3",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032376",
            "telephone_number": "318-325-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 MEDICAL PARK DR",
            "address_2": "STE 3",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032376",
            "telephone_number": "318-325-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA HEALTHCARE SYSTEMS OF LA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "LAGESSE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "318-325-5661"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "5CQ93",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Healthcare Systems of LA, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.