Organization
MOREHOUSE GENERAL HOSPITAL
Active
Parent organization
MOREHOUSE GENERAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOREHOUSE GENERAL HOSPITAL
Authorized official
DERRICK FRAZIER (CEO)
(318) 283-3601
Entity
Organization
Contact information
Practice address
323 W WALNUT AVE, BASTROP, LA 71220-4521
(318) 283-3601
(318) 239-8601
Mailing address
PO BOX 1060, BASTROP, LA 71221-1060
(318) 283-3601
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
167
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1705781
—
LA
Enumeration date
01/13/2017
Last updated
06/13/2019
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