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EASTERN LA MENTAL HEALTH SYSTEM
NPI 1043206543
Psychiatric Hospital in Jackson, LA

Active since September 21, 2005
4502 HIGHWAY 951, JACKSON, LA 70748(225) 634-0533(225) 634-5827 Get Directions Write a Review

NPPES record last updated: February 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eastern La Mental Health System NPPES

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

EASTERN LA MENTAL HEALTH SYSTEM (NPI 1043206543) is a healthcare organization registered as a psychiatric hospital in Jackson, Louisiana and active in the NPI registry since September 2005. The organization lists Malissa C. Coleman, Accountant Manager 3, as its authorized official.

NPPES Registry Identity

NPI1043206543
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameEAST LOUISIANA STATE HOSPITAL
Location Address4502 HIGHWAY 951Jackson, LA 70748-0498
Mailing AddressP.o. Box 498, 4502 Highway 951Jackson, LA 70748-0498 · (225) 634-0533 · Fax (225) 634-5827
Phone(225) 634-0533
Fax(225) 634-5827
Organization SubpartNo
Authorized OfficialMalissa C. ColemanAccountant Manager 3 · (225) 634-0533
Enumeration DateSeptember 21, 2005
Last NPPES UpdateFebruary 7, 2011
✔ NPI 1043206543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License✔ Licensed in LA · 201
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
4502 HIGHWAY 951, Jackson, LA 70748
Open in Google Maps ↗

Other Names 1

Doing Business AsEastern La Mental Health System

Other Identifiers 3

Medicare OSCAR/certification194008LA
Medicaid1710016LA
Medicare PIN5D456LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana.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 19D2010176

Eastern La Mental Health System · Jackson, LA
Expired · Jul 20, 2026
CLIA Number19D2010176
Laboratory TypeSecured Forensic Facility
Certificate Effective DateJuly 21, 2024
Certificate Expiration DateJuly 20, 2026
Laboratory DirectorScott Joseph Fin
Laboratory Phone(225) 634-0413
Laboratory LocationEastern La Mental Health System4502 Highway 951, Jackson, LA 70748
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

LOTACHA IRVIN-HAYES GSW
Social Worker
4502 HIGHWAY 951
JACKSON, LA 70748
East Feliciana Parish (225) 634-0224
DR. PHUONG NGOC HUYNH MD
General Practice
4502 HIGHWAY 951, EASTERN LA MENTAL HEALTH SYSTEM
JACKSON, LA 70748
East Feliciana Parish (225) 634-0224
AMANDA HIDALGO LCSW-BACS
Social Worker (Clinical)
4502 HIGHWAY 951
JACKSON, LA 70748
East Feliciana Parish (225) 937-7426
DR. GABRIEL I ONOR SR. MD
Internal Medicine
4502 HIGHWAY 951, EASTERN LA MENTAL HEALTH SYSTEM
JACKSON, LA 70748
East Feliciana Parish (225) 634-0224
MAKAYLA GANES
Registered Nurse (Psychiatric/Mental Health, Adult)
4502 HIGHWAY 951
JACKSON, LA 70748
East Feliciana Parish (225) 634-0100
DR. ALAN RAY PEREGO M.D.
Internal Medicine
4502 HIGHWAY 951
JACKSON, LA 70748
East Feliciana Parish (225) 634-0341
KALYN TEASETT TRS
Recreation Therapist
4502 HIGHWAY 951
JACKSON, LA 70748
East Feliciana Parish (225) 634-0216
JOSE KIAMCO MENDOZA JR. M.D.
Internal Medicine
4502 HIGHWAY 951
JACKSON, LA 70748
East Feliciana Parish (225) 634-4820

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 East Louisiana State Hospital's NPI number?

The NPI number for East Louisiana State Hospital is 1043206543. It was assigned to this organization in the NPPES registry on September 21, 2005. The provider is doing business as Eastern La Mental Health System.

Where is East Louisiana State Hospital located?

East Louisiana State Hospital is located at 4502 Highway 951, Jackson, LA 70748. The listed phone number is (225) 634-0533.

What is East Louisiana State Hospital's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

What insurance does East Louisiana State Hospital accept?

Health plans from Blue Cross and Blue Shield of Louisiana list East Louisiana State Hospital 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 East Louisiana State Hospital was last updated on February 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.