Organization
MOREHOUSE PARISH HOSPITAL SERVICE DISTRICT 1
Active
Parent organization
MOREHOUSE GENERAL HOSPITAL
Other names
MGH Physicians 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
425 S VINE ST, BASTROP, LA 71220-4513
(318) 283-3960
(318) 239-8960
Mailing address
PO BOX 293, BASTROP, LA 71221-0293
(318) 283-3620
(318) 239-8620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208600000X
Surgery Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LN0000X
Neonatal Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2114646
—
LA
Enumeration date
05/07/2010
Last updated
11/15/2024
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