Morehouse General Hospital
Organization Active NPI Psychiatric Hospital Unit · Bastrop, LA
NPI 1376089359 · NPPES record last updated Jun 13, 2019
Key facts
- NPI
- 1376089359
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital Unit 273R00000X
- License
- 167 (LA)
- Legal business name
- MOREHOUSE GENERAL HOSPITAL
- Practice address
- 323 W Walnut Ave
Bastrop, LA 71220-4521 - Phone
- (318) 283-3601
- Fax
- (318) 239-8601
- NPI assigned
- Jan 13, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- MOREHOUSE GENERAL HOSPITAL
Authorized official
- Name
- Derrick Frazier
- Title
- Ceo
- Phone
- (318) 283-3601
Owners & managing parties with NPI records 5
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 4
Member organizations 2
Related certifications (CCN) 1
Practitioners 34
-
Lucas Ainsworth, M.D.
-
Sancia E. Bredy, MD
-
Blake R Denley, MD
-
Brenton Wayne McDonald, M.D.
-
Ashley Pastore, MD
-
Curtis Sanders, M.D.
-
Mahmoud Sheikh-Khalil, M.D.
-
Deirdre Kivett Simmons, NP-C
-
Marcus Villery Stelly, M.D.
-
Daniel A Trejo, M.D.
-
Brett Allen Burnett, M.D.
-
Shaun David Carstairs, M.D.
-
Morgan Haile, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Hospital certification: CCN 19S116
- Legal name
- MOREHOUSE GENERAL HOSPITAL
- Doing business as
- ALLIANT MANAGEMENT SERVICES
- Organization structure
- Other · Non-profit
- Enrollment address
- 323 W Walnut Ave
Bastrop, LA 71220-4521 - Hospital subgroups
- Psychiatric unit
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| John M Yeldell |
Corporate Director |
Jan 27, 2011 | |
| Operational/Managerial Control |
Jan 27, 2011 | ||
| Other |
Jan 27, 2011 | ||
| Derrick Frazier |
Corporate Officer |
Dec 27, 2016 | |
| Operational/Managerial Control |
Dec 27, 2016 | ||
| Other |
Dec 27, 2016 | ||
| Morehouse General Hospital |
Operational/Managerial Control | Aug 1, 2020 | 100% |
| Richard Baland |
Corporate Director |
Apr 14, 2025 | |
| Betty Alford-Oliver |
Corporate Director |
Jun 12, 2017 | |
| Operational/Managerial Control |
Jun 12, 2017 | ||
| Other |
Jun 12, 2017 | ||
| Shayna Wall |
W-2 Managing Employee | May 1, 2019 | |
| Lindzay Wilmore |
Corporate Director |
Jun 15, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180122002195 | LA | Part a Provider - Hospital | 4284528274 | Practice locations: Bastrop, LA |
National Provider Directory
- Tax ID family
- Morehouse Parish Hospit
- Part of
- Morehouse Parish Hospit
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | 167 | LA | Yes |
Addresses
Primary practice location
323 W Walnut Ave
Bastrop, LA 71220-4521
Mailing address
PO Box 1060
Bastrop, LA 71221-1060
Phone (318) 283-3601
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1705781 | Medicaid | LA |
Other providers in Bastrop, LA
- Morehouse Community Medical Centers, Inc.
- Morehouse Computerized Imaging
- Morehouse Emergency Group LLC
- Morehouse General Hospital
- Morehouse General Hospital
- Morehouse General Hospital
- Morehouse General Hospital
- Morehouse General Hospital
- Morehouse Hosp. Women'S Health Center
- Morehouse Hyperbaric Medicine Providers, LLC
All providers in Bastrop, LA · Psychiatric Hospital Unit in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.