| Access Health Louisiana | |
|
3125 Valcour Aime St Vacherie LA 70090-7104 | |
| (866) 530-6111 | |
| Not Available |
| Full Name | Access Health Louisiana |
|---|---|
| Speciality | Clinic/Center |
| Location | 3125 Valcour Aime St, Vacherie, Louisiana |
| Authorized Official Name and Position | Mark 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 3125 Valcour Aime St Vacherie LA 70090-7104 Ph: (866) 530-6111 |
| NPI Number | 1174285647 |
|---|---|
| Provider Enumeration Date | 10/12/2021 |
| Last Update Date | 10/12/2021 |
| Medicare PECOS PAC ID | 3678484276 |
|---|---|
| Medicare Enrollment ID | O20211027003027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174285647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Kevin O Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659364495 PECOS PAC ID: 6608772934 Enrollment ID: I20031209000319 |
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