| |
232 Pirate Drive Saint Rose LA 70087 | |
(985) 308-6101 | |
(504) 575-3691 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 232 Pirate Drive, Saint Rose, Louisiana |
Authorized Official Name and Position | Mark Keiser (PRESIDENT) |
Authorized Official Contact | 5045753700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2900 Indiana Ave Kenner LA 70065-4605 Ph: (504) 575-3712 | 232 Pirate Drive Saint Rose LA 70087 Ph: (985) 308-6101 |
NPI Number | 1013239508 |
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Provider Enumeration Date | 02/24/2010 |
Last Update Date | 08/05/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013239508 | NPI | - | NPPES |
2112317 | Medicaid | LA |
Adrianne M Brennan Phd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 James Dr W, Saint Rose, LA 70087 Phone: 504-833-6730 |