Jefferson Community Health Care Centers | |
1855 Ames Blvd Marrero LA 70072-3429 | |
(504) 328-0488 | |
(504) 328-0899 |
Full Name | Jefferson Community Health Care Centers |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1855 Ames Blvd, Marrero, Louisiana |
Authorized Official Name and Position | Randolph J Fisher (INTERIM CEO) |
Authorized Official Contact | 5043280488 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jefferson Community Health Care Centers 1855 Ames Blvd Marrero LA 70072-3429 Ph: (504) 328-0488 | Jefferson Community Health Care Centers 1855 Ames Blvd Marrero LA 70072-3429 Ph: (504) 328-0488 |
NPI Number | 1144520677 |
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Provider Enumeration Date | 11/01/2010 |
Last Update Date | 11/17/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144520677 | 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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