ST MARTIN HOSPITAL, INC. (NPI# 1477886141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477886141 |
Entity Type | Organization |
Organization Name | ST MARTIN HOSPITAL, INC. |
Other Organization Name | ST MARTIN HOSPITAL |
Practice Address |
210 Champagne Boulevard Breaux Bridge LA 70517-3700 |
Practice Telephone | 3373322178 |
Practice Fax Number | 3373325092 |
Mailing Telephone | 3373322178 |
Mailing Fax Number | 3373325092 |
Enumeration Date | 2009-09-14 |
Last Update Date | 2020-01-22 |
Authorized Official Name | MR. DAVID L CALLECOD (AUTHORIZED DELEGATE) |
Authorized Official Telephone | 3372897374 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | BCBS | 31482 | 01 |
Other Name | Type Code |
---|---|
St Martin Hospital | Doing Business As Name - Organization |
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 |
1437482817 | St Martin Hospital, Inc. | General Acute Care Hospital | 210 Champagne Boulevard, Breaux Bridge, LA 70517-3700 | 2009-09-16 |
Street Address |
210 CHAMPAGNE BOULEVARD |
City | BREAUX BRIDGE |
State | LA |
Zip Code | 70517-3700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437482817 | St Martin Hospital, Inc. | General Acute Care Hospital | 210 Champagne Boulevard, Breaux Bridge, LA 70517-3700 | 2009-09-16 |
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 | 275N00000X |
Grouping | Hospital Units |
Classification | Medicare Defined Swing Bed Unit |
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
Notes: Source: Code of Federal Regulations #42, Section 482.66. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871633420 | Hospital Service District No. 2 | Medicare Defined Swing Bed Unit | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 | 2007-02-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306229075 | Feronie Schunior | Medicare Defined Swing Bed Unit | 1150 Robert Ste 230, Slidell, LA 70458 | 2015-06-30 |
1245524271 | New Orleans East Rehab Hospital, Inc. | Medicare Defined Swing Bed Unit | 333 E. Worthey Rd., Gonzales, LA 70737-4234 | 2011-06-07 |
1285835561 | Bienville Medical Center Inc | Medicare Defined Swing Bed Unit | 1175 Pine St Ste 200, Arcadia, LA 71001-3113 | 2007-05-31 |
1447465075 | Wards 3 4 & 10 Hospital Service District Parish of Union | Medicare Defined Swing Bed Unit | 409 1st Street, Bernice, LA 71222-0697 | 2007-05-14 |
1962569079 | Clhg-ville Platte LLC | Medicare Defined Swing Bed Unit | 800 E Main Street, Ville Platte, LA 70586-4615 | 2007-01-02 |
1922162833 | Hospital Service District 2 of The Parish of Tangipahoa State of La. | Medicare Defined Swing Bed Unit | 301 W Walnut St, Amite, LA 70422-2025 | 2006-12-22 |
1497826820 | Phc-opelousas Lp | Medicare Defined Swing Bed Unit | 3983 I-49 South Service Rd., Opelousas, LA 70570 | 2006-11-09 |
1760453310 | Clhg-leesville LLC | Medicare Defined Swing Bed Unit | 1020 W. Fertitta Blvd, Loosville, LA 71446-4645 | 2006-01-31 |
1033196456 | Ochsner Clinic Foundation | Medicare Defined Swing Bed Unit | 2614 Jefferson Hwy Fl 3, Jefferson, LA 70121-3828 | 2005-12-28 |
1649262791 | Sabine Medical Center Inc | Medicare Defined Swing Bed Unit | 240 Highland Dr, Many, LA 71449-3718 | 2005-08-16 |
Find all providers with the same taxonomy |
City | BREAUX BRIDGE |
Zip Code | 70517 |
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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.