SOUTH OUACHITA CLINIC
NPI 1033618616
Clinic/Center - Rural Health in Monroe, LA

Active since February 08, 2018CLIA 19D2145240 · Waiver
4310 S GRAND ST STE 1, MONROE, LA 71202(318) 746-0420(318) 752-1940 Get Directions Write a Review

NPPES record last updated: February 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Ouachita Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH OUACHITA CLINIC (NPI 1033618616) is a healthcare organization registered as a rural health in Monroe, Louisiana and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through March 4, 2028 and lists William Means, Administrator, as its authorized official.

NPPES Registry Identity

NPI1033618616
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBASTROP REHABILITATION HOSPITAL, LLC
Location Address4310 S GRAND ST STE 1Monroe, LA 71202-6322
Mailing Address816 Benton RdBossier City, LA 71111-3744 · (318) 243-5533 · Fax (318) 752-1940
Fax(318) 752-1940
Organization SubpartYes
Authorized OfficialWilliam MeansAdministrator · (318) 746-0420
Enumeration DateFebruary 8, 2018
NPI 1033618616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
4310 S GRAND ST STE 1, Monroe, LA 71202

Other Names 1

Doing Business AsSouth Ouachita Clinic

Other Identifiers 1

Medicaid1700517LA

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2145240

South Ouachita Clinic · Monroe, LA
Active · expires Mar 4, 2028
CLIA Number19D2145240
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 5, 2026
Certificate Expiration DateMarch 4, 2028
Laboratory DirectorAngie Herring
Laboratory Phone(318) 651-8303
Laboratory LocationSouth Ouachita Clinic4310 South Grand, Ste 1, Monroe, LA 71202
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Health Service)
4310 S GRAND ST STE 1
MONROE, LA 71202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bastrop Rehabilitation Hospital, LLC's NPI number?

The NPI number for Bastrop Rehabilitation Hospital, LLC is 1033618616. It was assigned to this organization in the NPPES registry on February 8, 2018. The provider is doing business as South Ouachita Clinic.

Where is Bastrop Rehabilitation Hospital, LLC located?

Bastrop Rehabilitation Hospital, LLC is located at 4310 S Grand St Ste 1, Monroe, LA 71202. The listed phone number is (318) 746-0420.

What is Bastrop Rehabilitation Hospital, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Bastrop Rehabilitation Hospital, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2145240) is associated with this NPI, valid through March 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bastrop Rehabilitation Hospital, LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and UnitedHealthcare list Bastrop Rehabilitation Hospital, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bastrop Rehabilitation Hospital, LLC was last updated on February 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.