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General NPI Number Information
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NPI Number | 1114740438
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Entity Type | Organization
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Legal Business Name | MOREHOUSE COMMUNITY MEDICAL CENTERS, INC.
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 1001 DESIARD ST STE 2
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City | MONROE
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State | LA
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Zip | 71201-7613
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Country | US
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Telephone | 318-283-8887
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 792
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City | BASTROP
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State | LA
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Zip | 71221-0792
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Country | US
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Telephone | 318-283-8887
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Fax |
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Authorized Official
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Title or Position | ADMIN
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Name | ELIZABETH SPIKES
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Credential |
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Telephone | 318-556-8454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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