| Jefferson Community Health Care Centers Inc | |
|
435 S Jamie Blvd Westwego LA 70094-2860 | |
| (504) 341-4006 | |
| Not Available |
| Full Name | Jefferson Community Health Care Centers Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 435 S Jamie Blvd, Westwego, Louisiana |
| Authorized Official Name and Position | Wanda Rose (CFO) |
| Authorized Official Contact | 5042067738 |
| 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 435 S Jamie Blvd Westwego LA 70094-2860 Ph: (504) 341-4006 |
| NPI Number | 1942985437 |
|---|---|
| Provider Enumeration Date | 06/21/2023 |
| Last Update Date | 06/21/2023 |
| Medicare PECOS PAC ID | 7911961115 |
|---|---|
| Medicare Enrollment ID | O20230814004060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942985437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Butler School Based Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 4th St, Westwego, LA 70094 Phone: 504-341-0654 Fax: 504-341-0689 | |
Jefferson Parish School Based Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Fourth St, Westwego, LA 70094 Phone: 504-341-0645 Fax: 504-341-0689 |