| Jefferson Community Health Care Centers Inc | |
|
7201 Lapalco Blvd Marrero LA 70072-4523 | |
| (504) 437-8523 | |
| (504) 436-3665 |
| Full Name | Jefferson Community Health Care Centers Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7201 Lapalco Blvd, Marrero, Louisiana |
| Authorized Official Name and Position | Wanda Rose (CFO) |
| Authorized Official Contact | 5044378523 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Community Health Care Centers Inc Po Box 2490 Marrero LA 70073-2490 Ph: (504) 437-8523 | Jefferson Community Health Care Centers Inc 7201 Lapalco Blvd Marrero LA 70072-4523 Ph: (504) 437-8523 |
| NPI Number | 1205470432 |
|---|---|
| Provider Enumeration Date | 10/31/2019 |
| Last Update Date | 10/31/2019 |
| Medicare PECOS PAC ID | 7911961115 |
|---|---|
| Medicare Enrollment ID | O20200228000824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205470432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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