| South Broad Community Health | |
|
3300 S. Broad Street New Orleans LA 70125-2942 | |
| (504) 575-3712 | |
| (504) 575-3691 |
| Full Name | South Broad Community Health |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3300 S. Broad Street, New Orleans, Louisiana |
| Authorized Official Name and Position | Mark Keiser (PRESIDENT) |
| Authorized Official Contact | 5045753712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Broad Community Health 2900 Indiana Ave Kenner LA 70065-4605 Ph: (504) 575-3712 | South Broad Community Health 3300 S. Broad Street New Orleans LA 70125-2942 Ph: (504) 575-3712 |
| NPI Number | 1760887905 |
|---|---|
| Provider Enumeration Date | 10/30/2014 |
| Last Update Date | 08/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760887905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Louisiana) | Primary |
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