NPIMap

Organization Active NPI

East Carroll Parish Hospital

  • General Acute Care Hospital
  • Lake Providence, LA
National Provider Identifier
1982695441
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
185 Issued in LA
Legal business name
EAST CARROLL PARISH HOSPITAL
Practice address
336 N Hood St
Lake Providence, LA 71254-2140
Phone
(318) 559-4023
Fax
(318) 559-3761
NPI assigned
Nov 3, 2005
Last updated
Oct 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Authorized official

Name
Mrs. Ladonna Englerth
Title
Administrator, Ceo
Phone
(318) 559-4023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 185 LA Primary

Addresses

Primary practice location

336 N Hood St
Lake Providence, LA 71254-2140

Mailing address

336 N Hood St
Lake Providence, LA 71254-2140
Phone (318) 559-4023

Other identifiers 2

IdentifierTypeStateIssuer
1941298MedicaidLA
1746550MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040216000563 LA Part B Supplier - Clinic/Group Practice 1153216619 Receives reassigned benefits from 78 practitioners
2 other NPIs on this enrollment
Practice locations: Lake Providence, LA
O20100526000466 LA Part A Provider - Hospital 1153216619 Practice locations: Lake Providence, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982695441. Details of each certification follow.

Hospital certification: CCN 190208

Legal name
EAST CARROLL PARISH HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Feb 18, 1988
Last certification
May 5, 2021
Beds
23
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
336 North Hood Street
Lake Providence, LA 71254-2140
Other Hospital Practice Location
Hospital subgroups
Acute care

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

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
East Carroll Parish HospitalCCN 190208 · All quality measures
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0673263East Carroll Parish Hospital336 North Hood Street, Lake Providence, LA 71254ComplianceMay 4, 2027
19D0880963East Carroll Parish Hosp Nursing Dept336 N Hood Street, Lake Providence, LA 71254Certificate of waiverJan 2, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

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 DirectorCeo Oct 9, 1988
W-2 Managing EmployeeCeo Feb 18, 1988 100%

Practitioners & affiliated clinicians

Practitioners 79

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 79

Affiliated clinicians 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1982695441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 N HOOD ST",
            "city": "LAKE PROVIDENCE",
            "state": "LA",
            "postal_code": "712542140",
            "telephone_number": "318-559-4023",
            "fax_number": "318-559-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 N HOOD ST",
            "city": "LAKE PROVIDENCE",
            "state": "LA",
            "postal_code": "712542140",
            "telephone_number": "318-559-4023",
            "fax_number": "318-559-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CARROLL PARISH HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "ENGLERTH",
        "authorized_official_first_name": "LADONNA",
        "authorized_official_title_or_position": "ADMINISTRATOR, CEO",
        "authorized_official_telephone_number": "318-559-4023",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "LA",
            "license": "185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1941298",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1746550",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Providence, LA

Sources for this page

Verify at the official NPI Registry.