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General NPI Number Information
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NPI Number | 1831202720
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Entity Type | Organization
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Legal Business Name | MOREHOUSE GENERAL HOSPITAL
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 323 W WALNUT AVE
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City | BASTROP
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State | LA
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Zip | 71220-4521
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Country | US
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Telephone | 318-283-3600
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Fax | 318-239-8601
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Provider Business Mailing Address
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Address Line | PO BOX 1060
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City | BASTROP
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State | LA
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Zip | 71221-1060
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Country | US
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Telephone | 318-283-3710
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Fax | 318-239-8710
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | ELMORE PATTERSON
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Credential |
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Telephone | 318-283-3602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 167
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License Number State | LA
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