Organization
MOREHOUSE GENERAL HOSPITAL
Active
Parent organization
MOREHOUSE GENERAL HOSPITAL
Other names
MGH Rural Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOREHOUSE GENERAL HOSPITAL
Authorized official
ELMORE PATTERSON (CHIEF EXECUTIVE OFFICER)
(318) 283-3602
Entity
Organization
Contact information
Practice address
420 GUNBY AVE, BASTROP, LA 71220-4406
(318) 283-3920
(318) 239-8920
Mailing address
PO BOX 293, BASTROP, LA 71221-0293
(318) 283-3620
(318) 239-8620
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2302914
—
LA
Enumeration date
08/05/2010
Last updated
01/03/2025
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