MOREHOUSE COMMUNITY MEDICAL CENTERS, INC. (NPI# 1760717102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760717102 |
| Entity Type | Organization |
| Organization Name | MOREHOUSE COMMUNITY MEDICAL CENTERS, INC. |
| Practice Address |
268 Harrington St Bastrop LA 71220-3026 |
| Mailing Address |
518 Durham St Bastrop LA 71220-5013 |
| Practice Telephone | 3182838887 |
| Mailing Telephone | 3182838887 |
| Mailing Fax Number | 3182816339 |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2009-10-02 |
| Authorized Official Name | KATIE PARNELL (CEO) |
| Authorized Official Telephone | 3182838887 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5638 | LA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235468349 | Morehouse Community Medical Centers, Inc. | Nurse Practitioner | 108 N. 16th St., Mer Rouge, LA 71261 | 2009-12-18 |
| 1053373191 | Morehouse Community Medical Centers, Inc. | Family Medicine | 518-520 Durham Street, Bastrop, LA 71220-0000 | 2006-04-04 |
| 1649609843 | Morehouse Community Medical Centers, Inc. | Clinic/Center | 335 Main Street, Marion, LA 71260-3653 | 2013-11-07 |
| 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 |
268 HARRINGTON ST |
| City | BASTROP |
| State | LA |
| Zip Code | 71220-3026 |
| 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 | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255808705 | James Woodfin Sullivan | Dentist | 121 Kaneohe Ln, Bastrop, TX 78602-7252 | 2018-11-01 |
| 1093252611 | Bastrop Modern Dentistry,pc | Dentist | 1670 Hwy 71 E, Suite A, Bastrop, TX 78602 | 2017-01-20 |
| 1245646181 | Patricia Adesanya | Dentist | 275 S Jackson St, Bastrop, TX 78602-4313 | 2014-07-10 |
| 1124395389 | Chad M Gardner Dds A Professional Dental Corporation | Dentist | 625 S Washington St, Bastrop, LA 71220-5034 | 2011-11-16 |
| 1174625289 | Tod Blane Lawhon | Dentist | 945 East Madison Ave, Bastrop, LA 71220 | 2006-09-01 |
| 1184636839 | Claude S Pratt | Dentist | 422 Durham St, Bastrop, LA 71220-5067 | 2006-08-12 |
| 1558813030 | Pecan Street Dental | Dentist | 708 Pecan St, Bastrop, TX 78602-3816 | 2016-10-31 |
| 1801275573 | Mary Webster Rachal | Dentist | 518 Durham St, Bastrop, LA 71220-5013 | 2015-05-27 |
| 1629417852 | Cole Thomas Smith | Dentist | 708 Pecan St, Bastrop, TX 78602-3816 | 2013-06-20 |
| 1710237557 | Brian Romney | Dentist | 805 Spring St, Bastrop, TX 78602-3230 | 2012-09-19 |
| Find all providers in BASTROP | ||||
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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.