ST. MARTIN HOSPITAL, INC. (NPI# 1023557113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023557113 |
| Entity Type | Organization |
| Organization Name | ST. MARTIN HOSPITAL, INC. |
| Other Organization Name | ST. MARTIN HOSPITAL SPECIALTY CLINIC |
| Practice Address |
225 Champagne Blvd Breaux Bridge LA 70517-3700 |
| Mailing Address |
210 Champagne Blvd Breaux Bridge LA 70517-3700 |
| Practice Telephone | 3374426506 |
| Mailing Telephone | 3374426506 |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |
| Authorized Official Name | DAVID L CALLECOD (PRESIDENT/CEO) |
| Authorized Official Telephone | 3372897374 |
| Is Organization Subpart | Y |
| Parent Organization Name | LAFAYETTE GENERAL HEALTH, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
240 | LA | Hospitals |
| Other Name | Type Code |
|---|---|
| St. Martin Hospital Specialty Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407414816 | St. Martin Hospital, Inc. | Clinic/Center | 1555 Gary Dr Ste C, Breaux Bridge, LA 70517-3448 | 2019-05-31 |
| 1407175615 | St. Martin Hospital, Inc. | General Acute Care Hospital | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 | 2010-05-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST. MARTIN HOSPITAL, INC. | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Street Address |
225 CHAMPAGNE BLVD |
| City | BREAUX BRIDGE |
| State | LA |
| Zip Code | 70517-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720543168 | Cheramie Rami | Nurse Practitioner | 225 Champagne Blvd, Breaux Bridge, LA 70517-3733 | 2019-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811528789 | Celesta Bertrand Johnson | Nurse Practitioner | 1038 School Rd, Cecilia, LA 70517 | 2020-01-30 |
| 1265077804 | Kevin Labry | Physical Medicine & Rehabilitation | 1220 Berard St., Breaux Bridge, LA 70517 | 2019-11-07 |
| 1700398153 | Carmanlita Sampson | Case Manager/Care Coordinator | 1117 Saltmine Hwy, Breaux Bridge, LA 70517 | 2017-10-25 |
| 1457870297 | Denita Marie Derouselle | Case Manager/Care Coordinator | 251 Rees St, Breaux Bridge, LA 70517 | 2017-09-13 |
| 1831645191 | Breaux Bridge Mm LLC | Clinic/Center | 1451 E Bridge Street, Breaux Bridge, LA 70517 | 2016-08-28 |
| 1215395975 | Hoa Nguyen | Pharmacist | 1401 Rees Street, Breaux Bridge, LA 70517 | 2016-02-09 |
| 1407213960 | Tracy Senegal | Counselor | 241 Anderson St, Breaux Bridge, LA 70517 | 2016-01-27 |
| 1396138145 | Community Healthcare Clinic, LLC | Nurse Practitioner | 1421 Henderson Highway, Henderson, LA 70517 | 2015-03-17 |
| 1386989358 | Brittney Alexander Sanders | Nurse Practitioner | 1021 School Street, Breaux Bridge, LA 70517 | 2012-12-03 |
| 1437400967 | Lourdes After Hours LLC - Breaux Bridge | Clinic/Center | 1821 Rees St, Breaux Bridge, LA 70517 | 2012-09-24 |
| Find all providers in zip 70517 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619469202 | St Martin Hospital, Inc. | General Acute Care Hospital | 1555 Gary Dr Ste A, Breaux Bridge, LA 70517-3448 | 2018-05-31 |
| 1598905465 | St. Lukes Episcopal Hospital | General Acute Care Hospital | 905 Poydras Hwy, Breaux Bridge, LA 70517-7512 | 2009-03-04 |
| 1548263262 | Hospital Service District No. 2 | General Acute Care Hospital | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 | 2005-05-27 |
| 1407175615 | St. Martin Hospital, Inc. | General Acute Care Hospital | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 | 2010-05-27 |
| 1437482817 | St Martin Hospital, Inc. | General Acute Care Hospital | 210 Champagne Boulevard, Breaux Bridge, LA 70517-3700 | 2009-09-16 |
| 1275701518 | Hospital Service District No. 2 | General Acute Care Hospital | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 | 2008-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679947022 | West Feliciana Parish Hospital | General Acute Care Hospital | 5266 Commerce Street, St Francisville, LA 70775 | 2015-11-23 |
| 1952565335 | Concordia Parish Hospital Service District Number One | General Acute Care Hospital | 1700 Ee Wallace Blvd N, Ferriday, LA 71334-2239 | 2008-07-15 |
| 1952579468 | Tulane University | General Acute Care Hospital | 1430 Tulane Ave # Sl78, New Orleans, LA 70112-2632 | 2008-02-19 |
| 1316133671 | Eureka Spings Hospital LLC | General Acute Care Hospital | 504 Texas St Ste 200, Shreveport, LA 71101-3526 | 2007-09-20 |
| 1811024540 | Tulane Univeristy | General Acute Care Hospital | 1430 Tulane Ave, Sl47, New Orleans, LA 70112 | 2007-02-28 |
| 1225165947 | Tulane Medical School | General Acute Care Hospital | 1430 Tulane Ave # Sl47, New Orleans, LA 70112-2632 | 2007-02-28 |
| 1639263189 | Lasalle Parish Hospital Service Dist No1 | General Acute Care Hospital | 1102 North Pine Road, Olla, LA 71465 | 2006-10-02 |
| 1003925959 | Hospital Service District 2 of The Parish of Tangipahoa State of La. | General Acute Care Hospital | 301 W. Walnut St., Amite, LA 70422-2025 | 2006-08-30 |
| 1407883341 | Lafourche Parish Hospital Service District No. 1 | General Acute Care Hospital | 200 West 134th Place, Cut Off, LA 70345 | 2006-06-27 |
| 1750338620 | Bienville Medical Center, Inc. | General Acute Care Hospital | 1175 Pine St, Suite 200, Arcadia, LA 71001-3113 | 2006-05-27 |
| Find all providers with the same taxonomy | ||||
| City | BREAUX BRIDGE |
| Zip Code | 70517 |
Please comment or provide details below to improve the information on ST. MARTIN HOSPITAL, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.