Organization
MOREHOUSE GENERAL HOSPITAL
Active
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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