NPIMap

Organization Active NPI

Morehouse Community Medical Centers, Inc

Doing business as CommuniHealth Services Monroe Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Monroe, LA
National Provider Identifier
1902393648
Registry record updated Jul 17, 2024
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 Monroe Community Health Center
Practice address
1825 N 18TH St Ste a&B
Monroe, LA 71201-4420
Phone
(318) 322-7999
NPI assigned
Apr 18, 2018
Last updated
Jul 17, 2024By 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 Jul 17, 2024

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) 239-8015

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Family Nurse Practitioner 363LF0000X NU
Pediatric Nurse Practitioner 363LP0200X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

1825 N 18TH St Ste a&B
Monroe, LA 71201-4420

Mailing address

PO Box 792
Bastrop, LA 71221-0792

Other identifiers 1

IdentifierTypeStateIssuer
2468430MedicaidLA

Other names 1

  • CommuniHealth Services Monroe Community Health Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060703000063 LA Part B Supplier - Clinic/Group Practice 1254343593 Receives reassigned benefits from 67 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Monroe, LA; West Monroe, LA; Mer Rouge, LA; Marion, LA; Farmerville, LA; Bastrop, LA
O20180709000426 LA Part A Provider - Federally Qualified Health Center (FQHC) 1254343593 Practice locations: Monroe, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902393648. Details of each certification follow.

Federally qualified health center certification: CCN 191988

Legal name
MOREHOUSE COMMUNITY MEDICAL CENTERS, INC.
Doing business as
MONROE PEDIATRICS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 6, 2018
Last certification
Jul 6, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 26, 2002 in LA
Enrollment address
1825 N 18TH St
Ste a&B
Monroe, LA 71201-4420

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

Other NPIs on the same Medicare enrollment 9

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

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

681 Highway 594
Monroe, LA 71203
Phone (318) 556-8454

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Katherine M Parnell Individual Corporate OfficerCeo Sep 1, 2007 100%
W-2 Managing EmployeeCeo Sep 1, 2007 100%
Ora Evans Individual Corporate OfficerBoard Member Sep 1, 2007 9%
Shawn Keyser Individual Corporate OfficerBoard Member Feb 23, 2016 9%
Katherine Herrington Individual Corporate OfficerBoard Member Sep 10, 2013 9%
Donna Stevenson Individual Corporate OfficerBoard Member Sep 1, 2007 9%
Kenneth Franklin Individual Corporate OfficerBoard Member Jan 13, 2015 9%
Loe Dunn Individual Corporate OfficerBoard Member Sep 1, 2007 9%
Lindsey B Murry Individual Corporate OfficerBoard Member Aug 10, 2010 9%
Gwendolyn M Davenport Individual Corporate OfficerBoard Member Sep 1, 2007 9%
Shirley Burch Individual Corporate OfficerBoard Member Nov 11, 2014 9%
Billy R Smith Individual Corporate OfficerBoard Member Sep 1, 2007 9%

All facility ownership & control disclosures 6

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
Communihealth Services Downsville ClinicDownsville, LA, CCN 191089 Federally qualified health center Operational/Managerial Control Oct 27, 2007
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 6

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

Practitioners & affiliated clinicians

Practitioners 6

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": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1902393648",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 N 18TH ST STE A&B",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014420",
            "telephone_number": "318-322-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOREHOUSE COMMUNITY MEDICAL CENTERS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOREHOUSE COMMUNITY MEDICAL CENTERS, INC.",
        "enumeration_date": "2018-04-18",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "PARNELL",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-239-8015"
    },
    "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": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2468430",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CommuniHealth Services Monroe Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.