Southeast Community Health Systems | |
8913 Bluebonnet Blvd Baton Rouge LA 70810-2974 | |
(225) 612-3900 | |
(225) 612-3800 |
Full Name | Southeast Community Health Systems |
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Speciality | Clinic/Center |
Location | 8913 Bluebonnet Blvd, Baton Rouge, Louisiana |
Authorized Official Name and Position | Alecia Cyprian (CEO) |
Authorized Official Contact | 2253062010 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Southeast Community Health Systems Po Box 770 Zachary LA 70791-0770 Ph: (225) 306-2000 | Southeast Community Health Systems 8913 Bluebonnet Blvd Baton Rouge LA 70810-2974 Ph: (225) 612-3900 |
NPI Number | 1750838686 |
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Provider Enumeration Date | 09/08/2016 |
Last Update Date | 09/07/2021 |
Medicare PECOS PAC ID | 4284610437 |
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Medicare Enrollment ID | O20161118000152 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750838686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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