| Jefferson Community Health Care Centers, Inc | |
|
1855 Ames Blvd Ste B Marrero LA 70072-3429 | |
| (504) 340-2337 | |
| (504) 340-2376 |
| Full Name | Jefferson Community Health Care Centers, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1855 Ames Blvd Ste B, Marrero, Louisiana |
| Authorized Official Name and Position | Dana Delpit (CFO) |
| Authorized Official Contact | 5043402337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Community Health Care Centers, Inc 1855 Ames Blvd Ste B Marrero LA 70072-3429 Ph: (504) 340-2337 | Jefferson Community Health Care Centers, Inc 1855 Ames Blvd Ste B Marrero LA 70072-3429 Ph: (504) 340-2337 |
| NPI Number | 1811123664 |
|---|---|
| Provider Enumeration Date | 06/08/2009 |
| Last Update Date | 11/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811123664 | NPI | - | NPPES |
| 1015199 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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