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Morehouse General Hospital

Organization Active NPI Rural Health Clinic/Center · Bastrop, LA

NPI 1992207294 · NPPES record last updated Oct 24, 2024

Key facts

NPI
1992207294
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
MOREHOUSE GENERAL HOSPITAL
Practice address
430 South Vine St.
Bastrop, LA 71220
Phone
(318) 283-3970
Fax
(318) 239-8970
NPI assigned
Mar 2, 2018
Organization subpart
Yes
Parent organization (as reported)
MOREHOUSE GENERAL HOSPITAL

Authorized official

Name
Elmore Patterson
Title
Chief Executive Officer
Phone
(318) 283-3602

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 1

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

Other NPIs with the same Medicare PAC ID 5

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

Corporate family (same tax ID) 4

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

Member of 1

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

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

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 67

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 67

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2030359Morehouse General Hospital Physicians Clinic
430 South Vine St, Bastrop, LA 71220		Provider-performed microscopySep 26, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Rural health clinic certification: CCN 198520

Legal name
MOREHOUSE GENERAL HOSPITAL
Doing business as
MOREHOUSE FAMILY MEDICINE RURAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 7, 2020
Last certification
Apr 7, 2026
Ownership / control type
Non-profit – church related
Organization structure
Other · Non-profit
Enrollment address
430 S Vine St
Bastrop, LA 71220-4514
Related CCNs
190116

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Richard Baland
Individual 		Corporate Officer
Chief Financial Officer		 Apr 23, 2025
Morehouse Parish Hospital Service District 1
Organization · Bastrop, LA 		5% Or Greater Direct Ownership Interest Feb 1, 2022
Lindzay Wilmore
Individual 		Corporate Director
Director of Revenue Cycle		 Jun 15, 2025
W-2 Managing Employee
Revenue Cycle Director		 Apr 23, 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 Services
Bastrop, LA · CCN 19S116		 Hospital Operational/Managerial Control (100%) Aug 1, 2020

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20180515002313 LA Part a Provider - Rural Health Clinic 4284528274 Practice locations: Bastrop, LA

National Provider Directory

Tax ID family
Morehouse Parish Hospit (5 organizations share this tax ID)
Part of
Morehouse Parish Hospit

Locations

314 N Franklin St
Ste A
Bastrop, LA 71220
Phone (318) 283-3890

616 S Washington St
Bastrop, LA 71220
Phone (318) 283-2177

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

430 South Vine St.
Bastrop, LA 71220

Mailing address

PO Box 293
Bastrop, LA 71221-0293
Phone (318) 283-3622

Other practice location 1

430 South Vine St.
Bastrop, LA 71220
Phone (318) 283-3970

Other names

  • Morehouse Family Medicine Rural Health Clinic Doing business as

Other providers in Bastrop, LA

All providers in Bastrop, LA · Rural Health Clinic/Center in Louisiana

Sources for this page

Verify at the official NPI Registry.