HOMER MEMORIAL HOSPITAL
NPI 1578572038
Preferred Provider Organization in Homer, LA

NPI Status: Active since August 05, 2006

Contact Information

912 W MAIN ST
HOMER, LA
ZIP 71040
Phone: (318) 927-3571
Fax: (318) 927-2677

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  • Organization
  • Preferred Provider Organization
  • CLIA Number: 19D0463210
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 03-31-2026

About HOMER MEMORIAL HOSPITAL

This page provides the complete NPI Profile along with additional information for Homer Memorial Hospital, a provider established in Homer, Louisiana operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1578572038 assigned on August 2006. The practitioner's primary taxonomy code is 305R00000X with license number 008287 (LA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is Homer Memorial Hospital. The authorized official of this NPI record is Keitha Cook (Office Manager)

NPI
1578572038
Provider Legal Name
HOMER MEMORIAL HOSPITAL
Other Organization Name
HOMER MEMORIAL HOSPITAL
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
912 W MAIN ST HOMER, LA 71040
Location Phone
(318) 927-3571
Location Fax
(318) 927-2677
Mailing Address
620 EAST COLLEGE ST. HOMER, LA 71040
Mailing Phone
(318) 927-3571
Mailing Fax
(318) 927-2677
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-05-2006
Last Update Date
06-22-2022
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Location Map

Secondary Locations

  • 620 E College St
    Homer, LA 71040
    (318) 927-3571

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
008287
License State
LA
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEITHA COOK

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(318) 927-3571

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1799645MEDICAID (05)LA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
19D0463210
Facility Type
Rural Health Clinic
Certificate Effective Date
April 01, 2024
Certificate Expiration Date
March 31, 2026
Laboratory Director
JESSICA A. PEEL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Homer Memorial Hospital to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1578572038, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
8
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 4 + 8 + 1 + 0 + 7 + 4 + 0 + 6 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1578572038.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Preferred Provider Organization
912 W MAIN ST
HOMER, LA 71040
Clinical Nurse Specialist (Acute Care)
912 W MAIN ST
HOMER, LA 71040
Family Medicine
912 W MAIN ST
HOMER, LA 71040
Nurse Practitioner (Family)
912 W MAIN ST
HOMER, LA 71040
Internal Medicine
912 W MAIN ST
HOMER, LA 71040
Family Medicine
912 W MAIN ST
HOMER, LA 71040
Clinic/Center (Rural Health)
912 W MAIN ST
HOMER, LA 71040

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578572038, enumerated as an "organization" on August 05, 2006.

The provider is located at 912 W MAIN ST HOMER, LA 71040 and the phone number is (318) 927-3571.

Preferred Provider Organization with taxonomy code 305R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.