| Access Health Louisiana | |
|
819 W Esplanade Ave Ste B Kenner LA 70065-6291 | |
| (504) 575-3712 | |
| (504) 575-3691 |
| Full Name | Access Health Louisiana |
|---|---|
| Speciality | Clinic/Center |
| Location | 819 W Esplanade Ave Ste B, Kenner, Louisiana |
| Authorized Official Name and Position | Mark F Keiser (CEO) |
| Authorized Official Contact | 5045753712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Health Louisiana 2900 Indiana Ave Kenner LA 70065-4605 Ph: (504) 575-3712 | Access Health Louisiana 819 W Esplanade Ave Ste B Kenner LA 70065-6291 Ph: (504) 575-3712 |
| NPI Number | 1104579630 |
|---|---|
| Provider Enumeration Date | 02/03/2022 |
| Last Update Date | 02/03/2022 |
| Medicare PECOS PAC ID | 3678484276 |
|---|---|
| Medicare Enrollment ID | O20220328001612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104579630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Sujata Chava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043318090 PECOS PAC ID: 4284601519 Enrollment ID: I20040915000519 |
| Provider Name | Kristi L Leblanc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336463702 PECOS PAC ID: 1355472978 Enrollment ID: I20100625000812 |
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