| St Charles Community Health Center, Kenner | |
|
200 W Esplanade Ave Kenner LA 70065-2489 | |
| (504) 712-7800 | |
| (504) 575-3691 |
| Full Name | St Charles Community Health Center, Kenner |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 200 W Esplanade Ave, Kenner, 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 |
|---|---|
| St Charles Community Health Center, Kenner 2900 Indiana Ave Kenner LA 70065-4605 Ph: (504) 575-3712 | St Charles Community Health Center, Kenner 200 W Esplanade Ave Kenner LA 70065-2489 Ph: (504) 712-7800 |
| NPI Number | 1992800718 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 08/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992800718 | NPI | - | NPPES |
| 1452904 | Medicaid | LA |
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