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ACCESS HEALTH LOUISIANA NPI 1891199766


NPI Information

NPI: 1891199766
Provider Name: ACCESS HEALTH LOUISIANA

Doing Business As: SOUTH BROAD COMMUNITY HEALTH

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
3300 S. BROAD ST.
NEW ORLEANS, LA
ZIP 70125
Phone: (504) 309-5061
Get Directions

ACCESS HEALTH LOUISIANA is a federally qualified health center (fqhc) clinic center in New Orleans, LA. ACCESS HEALTH LOUISIANA NPI is 1891199766. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As South Broad Community Health.

The provider's business location address is:

3300 S. BROAD ST.
NEW ORLEANS, LA
ZIP 70125-942
Phone: (504) 309-5061
Fax: (504) 575-3691

The provider's authorized official is Mark Keiser .
The authorized official title is President and has the following contact phone number (504) 575-3700.

The enumeration date for this NPI number is 10/21/2014 and was last updated on 9/13/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TF0000XPsychologistFamilyDO.000157LOUISIANANo
2207Q00000XFamily MedicineMD.023712LOUISIANANo
3261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12380605MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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