Morehouse General Hospital | |
323 W Walnut Ave Bastrop LA 71220-4521 | |
(318) 283-3601 | |
(318) 239-8601 |
Full Name | Morehouse General Hospital |
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Speciality | Psychiatric Unit |
Location | 323 W Walnut Ave, Bastrop, Louisiana |
Authorized Official Name and Position | Derrick Frazier (CEO) |
Authorized Official Contact | 3182833601 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Morehouse General Hospital Po Box 1060 Bastrop LA 71221-1060 Ph: (318) 283-3601 | Morehouse General Hospital 323 W Walnut Ave Bastrop LA 71220-4521 Ph: (318) 283-3601 |
NPI Number | 1376089359 |
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Provider Enumeration Date | 01/13/2017 |
Last Update Date | 06/13/2019 |
Medicare PECOS PAC ID | 4284528274 |
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Medicare Enrollment ID | O20180122002195 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376089359 | NPI | - | NPPES |
1705781 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | 167 (Louisiana) | Primary |
Therapeutic Interventions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9080 Westwood Dr., Null, Bastrop, LA 71220 Phone: 318-237-8000 | |