NPIMap

Organization Active NPI

Morehouse Community Medical Centers, Inc

Doing business as Communihealth Services Behavioral Health Wellness Clinic

  • Federally Qualified Health Center (FQHC)
  • Bastrop, LA
National Provider Identifier
1356898589
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MOREHOUSE COMMUNITY MEDICAL CENTERS, INC
Doing business as
Communihealth Services Behavioral Health Wellness Clinic
Practice address
501 Durham St
Bastrop, LA 71220-5012
Phone
(318) 283-8887
Fax
(318) 281-2559
NPI assigned
Sep 6, 2016
Reactivated
Jun 12, 2024
Last updated
Jun 18, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MOREHOUSE COMMUNITY MEDICAL CENTERS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Spikes
Title
Administrative Services Coordinator
Phone
(318) 556-8454

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X LA Primary
Family Nurse Practitioner 363LF0000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X

Addresses

Primary practice location

501 Durham St
Bastrop, LA 71220-5012

Mailing address

PO Box 792
Bastrop, LA 71221-0792
Phone (318) 239-8015

Other identifiers 1

IdentifierTypeStateIssuer
2429167MedicaidLA

Other names 1

  • COMMUNIHEALTH SERVICES BEHAVIORAL HEALTH WELLNESS CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060703000063 LA Part B Supplier - Clinic/Group Practice 1254343593 Receives reassigned benefits from 67 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Monroe, LA; West Monroe, LA; Mer Rouge, LA; Marion, LA; Farmerville, LA; Bastrop, LA
O20171010000024 LA Part A Provider - Federally Qualified Health Center (FQHC) 1254343593 Practice locations: Bastrop, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356898589. Details of each certification follow.

Federally qualified health center certification: CCN 191191

Legal name
MOREHOUSE COMMUNITY MEDICAL CENTERS, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 16, 2024
Last certification
Jul 16, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 7, 2016 in LA
Enrollment address
501 Durham St
Bastrop, LA 71220-5012

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Morehouse Community Medical

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Morehouse Community Medical Centers, Inc. Organization, Bastrop, LA Corporation, For-profit Operational/Managerial Control Oct 27, 2007
Katherine M Parnell Individual Corporate OfficerCeo Sep 1, 2007 100%
W-2 Managing Employee Sep 1, 2007 100%
Ora Evans Individual Corporate OfficerBoard Member Sep 1, 2007
Shawn Keyser Individual Corporate OfficerBoard Member Feb 23, 2016
Katherine Herrington Individual Corporate OfficerBoard Member Sep 10, 2013
Brady Middleton Individual Corporate OfficerBoard Member Sep 26, 2023
Donna Stevenson Individual Corporate OfficerBoard Member Sep 1, 2007
Kenneth Franklin Individual Corporate OfficerBoard Member Jan 13, 2015
Loe Dunn Individual Corporate OfficerBoard Member Sep 1, 2007
Gwendolyn M Davenport Individual Corporate OfficerBoard Member Sep 1, 2007
Shirley Burch Individual Corporate OfficerBoard Member Nov 11, 2014
Billy R Smith Individual Corporate OfficerBoard Member Sep 1, 2007

Owners & managing parties with NPI records 15

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 15

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Morehouse Community Medical Centers, Inc.Mer Rouge, LA, CCN 191877 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Nov 26, 2002
Union Parish High School Based Health CenterFarmerville, LA, CCN 191012 Federally qualified health center 5% Or Greater Direct Ownership Interest Nov 26, 2002
Communihealth Services Downsville ClinicDownsville, LA, CCN 191089 Federally qualified health center Operational/Managerial Control Oct 27, 2007
Morehouse Community Medical Centers, Inc.West Monroe, LA, CCN 191092 Federally qualified health center Operational/Managerial Control Oct 27, 2007
Communihealth ServicesBastrop, LA, CCN 191094 Federally qualified health center Operational/Managerial Control Oct 27, 2007

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1356898589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712210792",
            "telephone_number": "318-239-8015",
            "fax_number": "318-281-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DURHAM ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712205012",
            "telephone_number": "318-283-8887",
            "fax_number": "318-281-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOREHOUSE COMMUNITY MEDICAL CENTERS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOREHOUSE COMMUNITY MEDICAL CENTERS, INC.",
        "enumeration_date": "2016-09-06",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "deactivation_date": "2023-09-11",
        "reactivation_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "SPIKES",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATIVE SERVICES COORDINATOR",
        "authorized_official_telephone_number": "318-556-8454"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "LA",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2429167",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNIHEALTH SERVICES BEHAVIORAL HEALTH WELLNESS CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bastrop, LA

Sources for this page

Verify at the official NPI Registry.