| Jefferson Community Health Care Centers, Inc | |
|
4300 Patriot St Marrero LA 70072-4305 | |
| (504) 762-8909 | |
| (504) 328-0899 |
| Full Name | Jefferson Community Health Care Centers, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4300 Patriot St, Marrero, Louisiana |
| Authorized Official Name and Position | Cyrous Ardalan (INTERIM CEO) |
| Authorized Official Contact | 5047628900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Community Health Care Centers, Inc Po Box 2490 Marrero LA 70073-2490 Ph: (504) 762-8900 | Jefferson Community Health Care Centers, Inc 4300 Patriot St Marrero LA 70072-4305 Ph: (504) 762-8909 |
| NPI Number | 1447517032 |
|---|---|
| Provider Enumeration Date | 04/19/2012 |
| Last Update Date | 04/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447517032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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