MOREHOUSE COMMUNITY MEDICAL CENTERS, INC. (NPI# 1235468349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235468349 |
Entity Type | Organization |
Organization Name | MOREHOUSE COMMUNITY MEDICAL CENTERS, INC. |
Other Organization Name | COMMUNIHEALTH SERVICES - MER ROUGE FAMILY PRACTICE AND BEHAVIORAL HEAL |
Practice Address |
108 N. 16th St. Mer Rouge LA 71261 |
Mailing Address |
Po Box 792 Bastrop LA 71221-0792 |
Practice Telephone | 3182838887 |
Practice Fax Number | 3182816339 |
Mailing Telephone | 3182398015 |
Mailing Fax Number | 3182812559 |
Enumeration Date | 2009-12-18 |
Last Update Date | 2020-07-15 |
Authorized Official Name | MRS. KATIE PARNELL (CEO) |
Authorized Official Telephone | 3182398015 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
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 | 1821284 | 05 |
Other Name | Type Code |
---|---|
CommuniHealth Services - Mer Rouge Family Practice and Behavioral Heal | Doing Business As Name - Organization |
Morehouse Community Medical Centers, Inc. at Mer Rouge | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760717102 | Morehouse Community Medical Centers, Inc. | Dentist | 268 Harrington St, Bastrop, LA 71220-3026 | 2009-10-02 |
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 |
108 N. 16TH ST. |
City | MER ROUGE |
State | LA |
Zip Code | 71261 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174916837 | Allen L, Spires Md A Medical Corporation | Clinic/Center | 301 1/2 W. Davenport, Mer Rouge, LA 71261 | 2015-03-05 |
1811171085 | Sterlington Critical Access Hospital, L.L.C. | Clinic/Center | 205 Davenport Street, Mer Rouge, LA 71261 | 2007-12-24 |
1730382961 | Daniel Wood Pt Inc | Specialist | 105 Dave L Pearce, Oak Grove, LA 71261 | 2007-06-06 |
1730209164 | Kathy E Denman | Pharmacy Technician | 204 Davenport Ave., Mer Rouge, LA 71261 | 2007-03-30 |
1346360013 | Family Medical Clinic of Mer Rouge | Family Medicine | 205 South Davenport Ave, Mer Rouge, LA 71261 | 2007-03-29 |
1730203332 | Village Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 308 Davenport Ave, Mer Rouge, LA 71261 | 2007-03-19 |
1689709040 | Allen L.spires, Md, Apmc | Clinic/Center | 301 Davenport Ave, Mer Rouge, LA 71261 | 2007-02-23 |
1548301237 | Robert B Robinson Apdc | Dentist | 220 Davenport Ave, Mer Rouge, LA 71261 | 2007-02-08 |
1306986039 | Robert B Robinson | Dentist | 220 Davenport Ave., Mer Rouge, LA 71261 | 2007-02-08 |
1144361825 | Linda K Wright | Dentist | 220 Davenport Avenue, Mer Rouge, LA 71261 | 2007-02-08 |
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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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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.