| Access Health Louisiana | |
|
132 Cherry St Provencal LA 71468 | |
| (866) 530-6111 | |
| Not Available |
| Full Name | Access Health Louisiana |
|---|---|
| Speciality | Clinic/Center |
| Location | 132 Cherry St, Provencal, 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 |
|---|---|
| Access Health Louisiana 2900 Indiana Ave Kenner LA 70065-4605 Ph: (504) 575-3712 | Access Health Louisiana 132 Cherry St Provencal LA 71468 Ph: (866) 530-6111 |
| NPI Number | 1407575822 |
|---|---|
| Provider Enumeration Date | 08/29/2022 |
| Last Update Date | 08/29/2022 |
| Medicare PECOS PAC ID | 3678484276 |
|---|---|
| Medicare Enrollment ID | O20230718003524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407575822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provencal Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Cherry St, Provencal, LA 71468 Phone: 318-472-8660 Fax: 318-472-8661 |