| Msa West Academy | |
|
57955 Saint Louis Rd Plaquemine LA 70764-6624 | |
| (504) 575-3712 | |
| Not Available |
| Full Name | Msa West Academy |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 57955 Saint Louis Rd, Plaquemine, Louisiana |
| Authorized Official Name and Position | Mark Keiser (CEO) |
| Authorized Official Contact | 5045753700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Msa West Academy 2900 Indiana Ave Kenner LA 70065-4605 Ph: (504) 575-3712 | Msa West Academy 57955 Saint Louis Rd Plaquemine LA 70764-6624 Ph: (504) 575-3712 |
| NPI Number | 1528548617 |
|---|---|
| Provider Enumeration Date | 08/17/2018 |
| Last Update Date | 08/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528548617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Louisiana) | Primary |
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