| Morehouse Elementary School Based Health Center | |
|
1001 W Madison Ave Bastrop LA 71220-4331 | |
| (318) 281-8422 | |
| Not Available |
| Full Name | Morehouse Elementary School Based Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1001 W Madison Ave, Bastrop, Louisiana |
| Authorized Official Name and Position | Katie Parnell (CEO) |
| Authorized Official Contact | 3182398015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Morehouse Elementary School Based Health Center Po Box 792 Bastrop LA 71221-0792 Ph: (318) 239-8015 | Morehouse Elementary School Based Health Center 1001 W Madison Ave Bastrop LA 71220-4331 Ph: (318) 281-8422 |
| NPI Number | 1114252558 |
|---|---|
| Provider Enumeration Date | 10/02/2009 |
| Last Update Date | 03/03/2022 |
| Medicare PECOS PAC ID | 1254343593 |
|---|---|
| Medicare Enrollment ID | O20120326000418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114252558 | NPI | - | NPPES |
| 1803898 | Medicaid | LA |
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