| St Tammany Community Health Center | |
|
501 Robert Blvd Slidell LA 70458-1667 | |
| (985) 607-0400 | |
| (504) 575-3691 |
| Full Name | St Tammany Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 501 Robert Blvd, Slidell, Louisiana |
| Authorized Official Name and Position | Mark Keiser (PRESIDENT) |
| Authorized Official Contact | 5045753700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Tammany Community Health Center 2900 Indiana Ave Kenner LA 70065-4605 Ph: (504) 575-3712 | St Tammany Community Health Center 501 Robert Blvd Slidell LA 70458-1667 Ph: (985) 607-0400 |
| NPI Number | 1487898946 |
|---|---|
| Provider Enumeration Date | 04/28/2009 |
| Last Update Date | 08/05/2016 |
| Medicare PECOS PAC ID | 3678484276 |
|---|---|
| Medicare Enrollment ID | O20090527000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487898946 | NPI | - | NPPES |
| 1925349 | Medicaid | LA |
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