MOREHOUSE COMMUNITY MEDICAL CENTERS, INC (NPI# 1083802060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083802060 |
| Entity Type | Organization |
| Organization Name | MOREHOUSE COMMUNITY MEDICAL CENTERS, INC |
| Other Organization Name | COMMUNIHEALTH SERVICES - FAMILY PRACTICE AND BEHAVIORAL HEALTH CENTER |
| Practice Address |
518-520 Durham Street Bastrop LA 71220-5033 |
| Mailing Address |
Po Box 792 Bastrop LA 71221-0792 |
| Practice Telephone | 3182838887 |
| Mailing Telephone | 3182398015 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2020-07-15 |
| Authorized Official Name | MRS. KATHERINE PARNELL (CEO) |
| Authorized Official Telephone | 3182398015 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MD14979R | LA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD14862R | LA | Allopathic & Osteopathic Physicians |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP 04477 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP 03448 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN 05320 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP 05342 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1019798 | 05 |
| Other Name | Type Code |
|---|---|
| CommuniHealth Services - Family Practice and Behavioral Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548722853 | Morehouse Community Medical Centers, Inc | Clinic/Center | 1126 Marion Hwy, Farmerville, LA 71241-9305 | 2019-04-04 |
| 1902393648 | Morehouse Community Medical Centers, Inc | Pediatrics | 1825 N 18th St Ste A&b, Monroe, LA 71201-4420 | 2018-04-18 |
| 1356898589 | Morehouse Community Medical Centers, Inc | Clinic/Center | 501 Durham St, Bastrop, LA 71220-5012 | 2016-09-06 |
| 1134509649 | Morehouse Community Medical Centers, Inc | Social Worker | 201 Riggs St, West Monroe, LA 71291-2640 | 2015-06-01 |
| 1073993580 | Morehouse Community Medical Centers, Inc | Social Worker | 100 Price Dr, West Monroe, LA 71292-6315 | 2015-06-01 |
| 1245656412 | Morehouse Community Medical Centers, Inc | Clinic/Center | 402 Highland Ave, Bastrop, LA 71220-2241 | 2014-03-12 |
| 1881957454 | Morehouse Community Medical Centers, Inc | Clinic/Center | 518 Durham St, Bastrop, LA 71220-5013 | 2012-06-19 |
| 1114252558 | Morehouse Community Medical Centers, Inc | Nurse Practitioner | 1001 W Madison Ave, Bastrop, LA 71220-4331 | 2009-10-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MOREHOUSE COMMUNITY MEDICAL CENTERS, INC. | 518 Durham St, Bastrop, LA 71220-4521 |
| Street Address |
518-520 DURHAM STREET |
| City | BASTROP |
| State | LA |
| Zip Code | 71220-5033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053373191 | Morehouse Community Medical Centers, Inc. | Family Medicine | 518-520 Durham Street, Bastrop, LA 71220-0000 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952935983 | Broken Wings Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2869 New Monroe Road, Bastrop, LA 71220 | 2020-02-28 |
| 1275002685 | Hulin Urgent Care Services, LLC | Clinic/Center | 2100 East Madison Avenue, Bastrop, LA 71220 | 2018-11-14 |
| 1023594975 | Shuntel Ramona Johnson | Counselor | 8891 Holley Farm Road, Bastrop, LA 71220 | 2018-07-13 |
| 1376050526 | Kevin Hubbard | Case Manager/Care Coordinator | 9409 Willow Dr, Bastrop, LA 71220 | 2018-01-09 |
| 1265957229 | Alma Holmes | Behavioral Analyst | 644 E. Jefferson Ave, Bastrop, LA 71220 | 2017-08-10 |
| 1427570886 | Jennifer Rochelle Glosson | Counselor | 410 S. Franklin St, Bastrop, LA 71220 | 2017-07-07 |
| 1386179307 | Total Divine Care LLC | Community/Behavioral Health | 1840 North Washington Street, Bastrop, LA 71220 | 2017-04-27 |
| 1538609524 | Tyrra Watkins | Counselor | 10599 Parkwood Dr, Bastrop, LA 71220 | 2017-02-24 |
| 1528502119 | Oatie Brooks | Counselor | 813 Mccreight Street, Bastrop, LA 71220 | 2016-12-15 |
| 1487197810 | Valencia Reese | Counselor | 10434 Boswell St, Bastrop, LA 71220 | 2016-12-03 |
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| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1356898589 | Morehouse Community Medical Centers, Inc | Clinic/Center | 501 Durham St, Bastrop, LA 71220-5012 | 2016-09-06 |
| 1306236187 | Lone Star Circle of Care | Clinic/Center | 605 Old Austin Hwy, Bastrop, TX 78602-5034 | 2015-01-30 |
| 1629471875 | Community Health Centers of South Central Texas Inc. | Clinic/Center | 275 Jackson St, Bastrop, TX 78602-4316 | 2014-10-02 |
| 1245656412 | Morehouse Community Medical Centers, Inc | Clinic/Center | 402 Highland Ave, Bastrop, LA 71220-2241 | 2014-03-12 |
| 1881957454 | Morehouse Community Medical Centers, Inc | Clinic/Center | 518 Durham St, Bastrop, LA 71220-5013 | 2012-06-19 |
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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.