Access Health Louisiana | |
4121 Medoc Dr Kenner LA 70065-1922 | |
(866) 530-6111 | |
Not Available |
Full Name | Access Health Louisiana |
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Speciality | Clinic/Center |
Location | 4121 Medoc Dr, Kenner, Louisiana |
Authorized Official Name and Position | Mark Keiser (CEO) |
Authorized Official Contact | 5045753700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Access Health Louisiana 2900 Indiana Ave Kenner LA 70065-4605 Ph: (504) 575-3712 | Access Health Louisiana 4121 Medoc Dr Kenner LA 70065-1922 Ph: (866) 530-6111 |
NPI Number | 1306476874 |
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Provider Enumeration Date | 01/23/2020 |
Last Update Date | 01/23/2020 |
Medicare PECOS PAC ID | 3678484276 |
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Medicare Enrollment ID | O20200818000362 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306476874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Access Health Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 819 W Esplanade Ave Ste B, Kenner, LA 70065 Phone: 504-575-3712 Fax: 504-575-3691 | |
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