NPIMap

Organization Active NPI

Morehouse General Hospital

  • Multi-Specialty Clinic/Center
  • Bastrop, LA
National Provider Identifier
1790966638
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MOREHOUSE GENERAL HOSPITAL
Practice address
323 W Walnut Ave
Bastrop, LA 71220-4521
Phone
(318) 283-3600
Fax
(318) 239-8600
NPI assigned
Nov 20, 2007
Last updated
Oct 24, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MOREHOUSE GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
Elmore Patterson
Title
Chief Executive Officer
Phone
(318) 283-3607

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Psychiatry Physician 2084P0800X NU
Diagnostic Radiology Physician 2085R0202X NU
Hospitalist Physician 208M00000X NU

Addresses

Primary practice location

323 W Walnut Ave
Bastrop, LA 71220-4521

Mailing address

PO Box 1060
Bastrop, LA 71221-1060
Phone (318) 283-3710

Other practice location 1

420 S Vine St
Bastrop, LA 71220-4514
Phone (318) 283-3950

Other identifiers 1

IdentifierTypeStateIssuer
1797138MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040211000117 LA Part B Supplier - Clinic/Group Practice 4284528274 Receives reassigned benefits from 69 practitioners
2 other NPIs on this enrollment
Practice locations: Bastrop, LA

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Part of
Morehouse General Hospi

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Alliant Management ServicesBastrop, LA, CCN 19S116 Hospital Operational/Managerial Control (100%) Aug 1, 2020

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 69

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 69

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1790966638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1060",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712211060",
            "telephone_number": "318-283-3710",
            "fax_number": "318-239-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 W WALNUT AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204521",
            "telephone_number": "318-283-3600",
            "fax_number": "318-239-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 S Vine St",
            "address_purpose": "LOCATION",
            "city": "Bastrop",
            "state": "LA",
            "postal_code": "712204514",
            "country_code": "US",
            "telephone_number": "318-283-3950",
            "fax_number": "318-239-8950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOREHOUSE GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOREHOUSE GENERAL HOSPITAL",
        "enumeration_date": "2007-11-20",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "ELMORE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "318-283-3607"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1797138",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, LA

Sources for this page

Verify at the official NPI Registry.