NPIMap

Organization Active NPI

Morehouse General Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Bastrop, LA
National Provider Identifier
1831202720
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
167 Issued in LA
Legal business name
MOREHOUSE GENERAL HOSPITAL
Practice address
323 W Walnut Ave
Bastrop, LA 71220-4521
Phone
(318) 283-3600
Fax
(318) 239-8601
NPI assigned
Aug 16, 2006
Last updated
Oct 24, 2024By the provider in NPPES
Organization subpart
No

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) 283-3602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 167 LA Primary

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 identifiers 1

IdentifierTypeStateIssuer
190031100ZOtherLABLUE CROSS SWING BED

Medicare participation

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

Enrollment records 2

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
This NPI is an additional NPI on the enrollment
Practice locations: Bastrop, LA
O20090413000123 LA Part A Provider - Hospital 4284528274 Practice locations: Bastrop, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831202720. Details of each certification follow.

Hospital certification: CCN 19U116

Legal name
MOREHOUSE GENERAL HOSPITAL
Doing business as
MOREHOUSE GENERAL HOSPITAL
Organization structure
GovernmentNon-profit
Enrollment address
323 W Walnut Ave
Bastrop, LA 71220-4521
Hospital Swing-Bed Unit
Hospital subgroups
Acute care, Swing-bed approved, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

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
Tax ID family
Morehouse General Hospi5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
John M Yeldell Individual Corporate Director Jan 27, 2011
Richard Baland Individual Corporate DirectorCfo Apr 14, 2025
Mark Kimball Individual Operational/Managerial ControlInterim Ceo Feb 1, 2024
Lindzay Wilmore Individual Corporate DirectorDirector of Revenue Cycle Jun 15, 2025

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

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1831202720",
    "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": "318-239-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOREHOUSE GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "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": "318-283-3602"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "LA",
            "license": "167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SWING BED",
            "identifier": "190031100Z",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, LA

Sources for this page

Verify at the official NPI Registry.