Morehouse Parish Hospital Service District 1

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MOREHOUSE PARISH HOSPITAL SERVICE DISTRICT 1

Doing business as

MGH Physicians Clinic

Practice address

425 S Vine St
Bastrop, LA 71220-4513

Phone

(318) 283-3960

Fax

(318) 239-8960

NPI assigned

May 7, 2010

Last updated

Nov 15, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

MOREHOUSE GENERAL HOSPITALAs reported in NPPES

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 9

Addresses

Other identifiers 1

Other names 1

• MGH Physicians Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Part of

Morehouse Parish Hospit

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Morehouse General Hospital

  dba MGH Rural Health Clinic

  • Rural Health Clinic/Center
  • Bastrop, LA
  • NPI 1245544923

  Member Of

  NPD member

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Morehouse General Hospital

  • General Acute Care Hospital
  • Bastrop, LA
  • NPI 1003898313

  Member Of

  NPD member
• Morehouse General Hospital

  dba Morehouse Family Medicine Rural Health Clinic

  • Rural Health Clinic/Center
  • Bastrop, LA
  • NPI 1992207294

  Member Of

  NPD member

Locations

All facility ownership & control disclosures 2

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

Owned or controlled facilities with NPI records 2

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

• Morehouse General Hospital

  • General Acute Care Hospital
  • Bastrop, LA
  • NPI 1003898313

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Morehouse General Hospital

  dba Morehouse Family Medicine Rural Health Clinic

  • Rural Health Clinic/Center
  • Bastrop, LA
  • NPI 1992207294

  5% Or Greater Direct Ownership Interest

  CMS ownership

Practitioners 41

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.

• Danier Deselle Anderson, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Monroe, LA
  • NPI 1639347073
  Medicare reassignment Care Compare group NPD
• Bal Raj Bhandari, M.D.

  • Specialist
  • Bastrop, LA
  • NPI 1063473494

  Gastroenterology

  Medicare reassignment Care Compare group NPD
• Pamela Suzette Eisler, CNM

  • Advanced Practice Midwife
  • Monroe, LA
  • NPI 1699138867
  Medicare reassignment Care Compare group NPD
• Jessica Pack, APRN

  • Family Nurse Practitioner
  • Bastrop, LA
  • NPI 1982319067
  Medicare reassignment Care Compare group NPD
• Laquinten Peterson, NP

  • Family Nurse Practitioner
  • Bastrop, LA
  • NPI 1154015329
  Medicare reassignment Care Compare group NPD
• Lisa Allison-Graves Post, R.D./ M.D.

  • General Practice Physician
  • Bastrop, LA
  • NPI 1508848623
  Medicare reassignment Care Compare group NPD
• Timothy Davenport Spires Jr., MD

  • Orthopaedic Surgery Physician
  • Monroe, LA
  • NPI 1346257870
  Medicare reassignment Care Compare group NPD
• Cameron M Best, M.D.

  • Orthopaedic Hand Surgery Physician
  • Monroe, LA
  • NPI 1912160748
  Medicare reassignment NPD
• Jeffrey Roy Counts, D.O.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Monroe, LA
  • NPI 1710962444
  Medicare reassignment NPD
• Stanley Douglas Crawford, D.O.

  • Orthopaedic Surgery of the Spine Physician
  • Monroe, LA
  • NPI 1497171888

  Family Medicine

  Medicare reassignment NPD
• Martin Joseph Degravelle Jr., M.D.

  • Orthopaedic Hand Surgery Physician
  • Monroe, LA
  • NPI 1457520801
  Medicare reassignment NPD
• William Patrick Ensminger, MD

  • Orthopaedic Surgery Physician
  • Monroe, LA
  • NPI 1740644665
  Medicare reassignment NPD

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1891013496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712210293",
            "telephone_number": "318-283-3620",
            "fax_number": "318-239-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S VINE ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204513",
            "telephone_number": "318-283-3960",
            "fax_number": "318-239-8960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "616 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Bastrop",
            "state": "LA",
            "postal_code": "712205035",
            "country_code": "US",
            "telephone_number": "318-283-3990",
            "fax_number": "318-239-8990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "532 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Bastrop",
            "state": "LA",
            "postal_code": "712205033",
            "country_code": "US",
            "telephone_number": "318-283-3965",
            "fax_number": "318-239-8965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8649 Highway 165 N Ste 1",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712038965",
            "country_code": "US",
            "telephone_number": "318-283-3980",
            "fax_number": "318-239-8980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9642 Highway 165 N",
            "address_purpose": "LOCATION",
            "city": "Sterlington",
            "state": "LA",
            "postal_code": "712803185",
            "country_code": "US",
            "telephone_number": "318-283-3980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9644 Highway 165 N",
            "address_purpose": "LOCATION",
            "city": "Sterlington",
            "state": "LA",
            "postal_code": "712803185",
            "country_code": "US",
            "telephone_number": "318-283-3980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOREHOUSE PARISH HOSPITAL SERVICE DISTRICT 1",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOREHOUSE GENERAL HOSPITAL",
        "enumeration_date": "2010-05-07",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-13",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Neonatal",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2114646",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MGH Physicians Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morehouse Hosp. Women's Health Center
• Morehouse Hyperbaric Medicine Providers, LLC
• Morehouse Internal Medicine Clinic
• Morehouse Parish Dialysis Center, LLC (Morehouse Parish Dialysis Center)
• Morehouse Parish Hospital Service District (Morehouse General Hospital Anesthesia)
• Morehouse Parish School Board
• Morehouse Parish School Board
• Morehouse Pharmaceutical Co Inc (Lee's City Drug)
• Morehouse Pharmaceutical Co Inc (Lees City Drug)
• Lakisher Bonner Morgan, FNP

• Multi-Specialty Clinic/Center in Bastrop, LA
• Providers in Bastrop, LA by specialty
• Multi-Specialty Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.