MOREHOUSE GENERAL HOSPITAL (NPI# 1245544923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245544923 |
| Entity Type | Organization |
| Organization Name | MOREHOUSE GENERAL HOSPITAL |
| Other Organization Name | MGH RURAL HEALTH CLINIC |
| Practice Address |
420 Gunby Ave Bastrop LA 71220-4406 |
| Mailing Address |
Po Box 293 Bastrop LA 71221-0293 |
| Practice Telephone | 3182833920 |
| Practice Fax Number | 3182398920 |
| Mailing Telephone | 3182833620 |
| Mailing Fax Number | 3182398620 |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2019-11-22 |
| Authorized Official Name | DERRICK A FRAZIER (CEO) |
| Authorized Official Telephone | 3182833601 |
| Is Organization Subpart | Y |
| Parent Organization Name | MOREHOUSE GENERAL HOSPTIAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2302914 | 05 |
| Other Name | Type Code |
|---|---|
| MGH Rural Health Clinic | Doing Business As Name - Organization |
| Morehouse General Hospital Rural Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003898313 | Morehouse General Hospital | General Acute Care Hospital | 323 W Walnut Ave, Bastrop, LA 71220-4521 | 2005-11-14 |
| 1992207294 | Morehouse General Hospital | Clinic/Center | 221 W Hickory Ave, Bastrop, LA 71220 | 2018-03-02 |
| 1376089359 | Morehouse General Hospital | Psychiatric Unit | 323 W Walnut Ave, Bastrop, LA 71220-4521 | 2017-01-13 |
| 1790966638 | Morehouse General Hospital | Psychiatry & Neurology | 323 W Walnut Ave, Bastrop, LA 71220-4521 | 2007-11-20 |
| 1831202720 | Morehouse General Hospital | Medicare Defined Swing Bed Unit | 323 W Walnut Ave, Bastrop, LA 71220-4521 | 2006-08-16 |
| Street Address |
420 GUNBY AVE |
| City | BASTROP |
| State | LA |
| Zip Code | 71220-4406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780641621 | Anthony Young | Physician Assistant | 420 Gunby Ave, Bastrop, LA 71220-4406 | 2006-04-26 |
| 1346505393 | Heather Hollis Davis | Nurse Practitioner | 420 Gunby Ave, Bastrop, LA 71220-4406 | 2012-07-05 |
| 1063796571 | Morehouse Internal Medicine Clinic | Physician Assistant | 420 Gunby Ave, Bastrop, LA 71220-4406 | 2011-10-03 |
| 1467748459 | Renita Smalley Bryant | Nurse Practitioner | 420 Gunby Ave, Bastrop, LA 71220-4406 | 2011-06-28 |
| 1801027131 | Robert E Lyon Internal Medicine, Inc | Family Medicine | 420 Gunby Ave, Bastrop, LA 71220-4406 | 2009-08-04 |
| 1225265598 | Robert E Lyon Internal Medicine, Inc. | Family Medicine | 420 Gunby Ave, Bastrop, LA 71220-4406 | 2009-06-15 |
| 1144334863 | Maribeth Gambill | Nurse Practitioner | 420 Gunby Ave, Bastrop, LA 71220-4406 | 2006-08-18 |
| 1447284021 | Carlos Hernandez | Physician Assistant | 420 Gunby Ave, Bastrop, LA 71220-4406 | 2006-07-10 |
| 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 |
| Find all providers in zip 71220 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392602 | Ascension Seton | Clinic/Center | 630 Highway 71 W Ste E, Bastrop, TX 78602-4234 | 2017-12-14 |
| 1992207294 | Morehouse General Hospital | Clinic/Center | 221 W Hickory Ave, Bastrop, LA 71220 | 2018-03-02 |
| 1821434499 | Jeff E. Hagen Md | Clinic/Center | 301 Highway 71 W, Suite 111, Bastrop, TX 78602-4105 | 2013-05-22 |
| 1669658571 | Sterlington Critical Access Hospital, L.L.C. | Clinic/Center | 510 S Washington St, Bastrop, LA 71220-5033 | 2008-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942155 | Clhg-ville Platte LLC | Clinic/Center | 804 E. Main Street, Ville Platte, LA 70586 | 2020-11-06 |
| 1568062446 | Lhcg Clxix, LLC | Clinic/Center | 821 N Union St, Opelousas, LA 70570-6313 | 2020-10-29 |
| 1760089791 | Blanchard Medical | Clinic/Center | 5948 N Market St, Shreveport, LA 71107-2017 | 2020-10-02 |
| 1922619238 | Pediatric Group of Acadiana, LLC | Clinic/Center | 818 W. Veterans Memorial, Kaplan, LA 70548 | 2020-08-11 |
| 1720606478 | Dr Lawanda Lamar Bellamy Md A Professional Medical Corporation | Clinic/Center | 1307 Crowley-rayne Hwy, Suite B, Crowley, LA 70526 | 2020-07-09 |
| 1669002002 | Franklin Parish Hospital Service Dist 1 | Clinic/Center | 7645 Gilbert Street, Gilbert, LA 71336 | 2020-01-24 |
| 1184260937 | Children's International, LLC | Clinic/Center | 5151 Plank Rd Ste 190, Baton Rouge, LA 70805-3501 | 2019-11-26 |
| 1003467440 | Clhg-acadian LLC | Clinic/Center | 151 Hill St Ste 102, Eunice, LA 70535-5845 | 2019-09-26 |
| 1164073524 | Tangi Wellness & Health | Clinic/Center | 906 C M Fagan Dr Ste B3, Hammond, LA 70403-6056 | 2019-09-26 |
| 1679126510 | Pediatric Group of Acadiana, LLC | Clinic/Center | 1307 Crowley Rayne Hwy Ste C, Crowley, LA 70526-8210 | 2019-07-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MOREHOUSE GENERAL HOSPITAL.
| 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.