NPIMap

Organization Active NPI

Morehouse Community Medical Centers, Inc.

Doing business as CommuniHealth Services - Downsville Clinic

  • Federally Qualified Health Center (FQHC)
  • Downsville, LA
National Provider Identifier
1386314706
Registry record updated Mar 3, 2022
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 - Downsville Clinic
Practice address
4787 Highway 151
Downsville, LA 71234-5145
Phone
(318) 283-8887
NPI assigned
Sep 16, 2021
Last updated
Mar 3, 2022By 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 Mar 3, 2022

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

Authorized official

Name
Katie Parnell
Title
Ceo
Phone
(318) 283-8887

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Family Nurse Practitioner 363LF0000X NU
Pediatric Nurse Practitioner 363LP0200X NU
Professional Counselor 101YP2500X NU
Dentist 122300000X NU

Addresses

Primary practice location

4787 Highway 151
Downsville, LA 71234-5145

Mailing address

PO Box 792
Bastrop, LA 71221-0792
Phone (318) 283-8887

Other names 1

  • CommuniHealth Services - Downsville Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220119002849 LA Part A Provider - Federally Qualified Health Center (FQHC) 1254343593 Practice locations: Downsville, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386314706. Details of each certification follow.

Federally qualified health center certification: CCN 191089

Legal name
MOREHOUSE COMMUNITY MEDICAL CENTERS, INC.
Doing business as
COMMUNIHEALTH SERVICES DOWNSVILLE CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 20, 2022
Last certification
Jan 20, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 2021 in LA
Enrollment address
4787 Highway 151
Downsville, LA 71234-5145

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

National Provider Directory

National Provider Directory
Tax ID family
Morehouse Community Medical20 organizations share this tax ID, including this one
Part of
Morehouse Community Medical

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

1825 N 18th St
Monroe, LA 71201
Phone (318) 322-7999

Ownership & related parties

All disclosed owners & managing parties 13

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, Non-profit Operational/Managerial Control Oct 27, 2007
Katherine M Parnell Individual 5% Or Greater Indirect Ownership InterestCeo Oct 27, 2007
W-2 Managing Employee Oct 27, 2007
Operational/Managerial ControlCeo Oct 27, 2007
Ora Evans Individual Other Nov 28, 2006
Shawn Keyser Individual Other Feb 23, 2016
Katherine Herrington Individual Other Sep 1, 2013
Donna Stevenson Individual Other Feb 8, 2005
Kenneth Franklin Individual Other Jan 13, 2015
Loe Dunn Individual Other Nov 28, 2006
Valerie Preston Individual Other Oct 9, 2007
Lindsey B Murry Individual Other Aug 10, 2010
Gwendolyn M Davenport Individual Other Nov 28, 2006
Shirley Burch Individual Other Nov 11, 2014
Billy R Smith Individual Other Aug 8, 2006

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
Morehouse Community Medical Centers, Inc.Bastrop, LA, CCN 191191 Federally qualified health center Operational/Managerial Control Oct 27, 2007
Union Parish High School Based Health CenterFarmerville, LA, CCN 191012 Federally qualified health center 5% Or Greater Direct Ownership Interest Nov 26, 2002
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 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1386314706",
    "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": "318-283-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4787 HIGHWAY 151",
            "city": "DOWNSVILLE",
            "state": "LA",
            "postal_code": "712345145",
            "telephone_number": "318-283-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOREHOUSE COMMUNITY MEDICAL CENTERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOREHOUSE COMMUNITY MEDICAL CENTERS, INC.",
        "enumeration_date": "2021-09-16",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "PARNELL",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-283-8887"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CommuniHealth Services - Downsville Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CommuniHealth Services - Downsville Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downsville, LA

Sources for this page

Verify at the official NPI Registry.