Hahnville High Sbhc is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Boutte, Louisiana. The current practice location for Hahnville High Sbhc is 200 Tiger Dr, Boutte, Louisiana. For appointments, you can reach them via phone at
(866) 530-6111. The mailing address for Hahnville High Sbhc is 2900 Indiana Ave, Kenner, Louisiana and phone number is (504) 575-3712.
Hahnville High Sbhc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1285393736. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(866) 530-6111.
Primary Care Clinic Profile
| Full Name | Hahnville High Sbhc |
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| Speciality | Clinic/Center |
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| Location | 200 Tiger Dr, Boutte, Louisiana |
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| Authorized Official Name and Position | Mark Keiser (CEO) |
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| Authorized Official Contact | 5045753700 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Hahnville High Sbhc
2900 Indiana Ave
Kenner
LA 70065-4605
Ph: (504) 575-3712 | Hahnville High Sbhc
200 Tiger Dr
Boutte
LA 70039-3520
Ph: (866) 530-6111 |
NPI Details:
| NPI Number | 1285393736 |
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| Provider Enumeration Date | 12/13/2021 |
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| Last Update Date | 04/20/2022 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 3678484276 |
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| Medicare Enrollment ID | O20220511001050 |
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Medical Identifiers
Medical identifiers for Hahnville High Sbhc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285393736 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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