Organization
MOREHOUSE COMMUNITY MEDICAL CENTERS, INC
Active
Parent organization
MOREHOUSE COMMUNITY MEDICAL CENTERS, INC.
Other names
COMMUNIHEALTH SERVICES BEHAVIORAL HEALTH WELLNESS CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOREHOUSE COMMUNITY MEDICAL CENTERS, INC.
Authorized official
ELIZABETH SPIKES (ADMINISTRATIVE SERVICES COORDINATOR)
(318) 556-8454
Entity
Organization
Contact information
Practice address
501 DURHAM ST, BASTROP, LA 71220-5012
(318) 283-8887
(318) 281-2559
Mailing address
PO BOX 792, BASTROP, LA 71221-0792
(318) 239-8015
(318) 281-2559
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
LA
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2429167
—
LA
Enumeration date
09/06/2016
Last updated
06/18/2024
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