Southeast Community Health Systems @ Greensburg | |
490 Sitman Street Greensburg LA 70441 | |
(225) 222-6059 | |
(225) 222-6543 |
Full Name | Southeast Community Health Systems @ Greensburg |
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Speciality | Clinic/Center |
Location | 490 Sitman Street, Greensburg, 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 @ Greensburg Post Office Box 770 Zachary LA 70791 Ph: (225) 222-6059 | Southeast Community Health Systems @ Greensburg 490 Sitman Street Greensburg LA 70441 Ph: (225) 222-6059 |
NPI Number | 1023147113 |
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Provider Enumeration Date | 03/05/2007 |
Last Update Date | 03/06/2015 |
Medicare PECOS PAC ID | 4284610437 |
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Medicare Enrollment ID | O20050124000119 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023147113 | NPI | - | NPPES |
1943207 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Corey Hall |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205882420 PECOS PAC ID: 8729060777 Enrollment ID: I20040603000336 |
Provider Name | Marvin Trotter |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1649374992 PECOS PAC ID: 1759344625 Enrollment ID: I20041111000094 |
Provider Name | Avanelle V Jack |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1316996671 PECOS PAC ID: 7012933344 Enrollment ID: I20051017000537 |
Provider Name | Tammy M Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720006315 PECOS PAC ID: 3971527417 Enrollment ID: I20060123000923 |
Provider Name | Carol M Patin |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1033141056 PECOS PAC ID: 7911090436 Enrollment ID: I20070830000069 |
Provider Name | Tina T Wells |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134126410 PECOS PAC ID: 0648327841 Enrollment ID: I20090403000362 |
Provider Name | Radhiya K Lewis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316145345 PECOS PAC ID: 3476694977 Enrollment ID: I20100106000245 |
Provider Name | Shannon Amacker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154646388 PECOS PAC ID: 0648457770 Enrollment ID: I20110526000757 |
Provider Name | Shenita L Paynes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063790913 PECOS PAC ID: 1153591532 Enrollment ID: I20110822000168 |
Provider Name | Michael Hunter Hansen |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1417994690 PECOS PAC ID: 4486672151 Enrollment ID: I20120801000686 |
Provider Name | Brenda M Deel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992134845 PECOS PAC ID: 6406089747 Enrollment ID: I20140512001713 |
Provider Name | Akayla Dawntress Robinson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700178720 PECOS PAC ID: 4385865229 Enrollment ID: I20141018000109 |
Provider Name | Kimberly L Givens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184045932 PECOS PAC ID: 8820312879 Enrollment ID: I20150121002138 |
Provider Name | Kenya Lavergne |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497143663 PECOS PAC ID: 5294056453 Enrollment ID: I20150601000925 |
Provider Name | Nikita L Pearl |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093107310 PECOS PAC ID: 4981916210 Enrollment ID: I20150630000424 |
Provider Name | Heather Muse |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972917854 PECOS PAC ID: 8628382355 Enrollment ID: I20150807015004 |
Provider Name | Benjamin E Larisey |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780060087 PECOS PAC ID: 6305147265 Enrollment ID: I20151217001894 |
Provider Name | Michelle J Howell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689100786 PECOS PAC ID: 9638447709 Enrollment ID: I20170613002109 |
Provider Name | Shelly C Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538680822 PECOS PAC ID: 4082988167 Enrollment ID: I20170928001774 |
Provider Name | Geneva Carter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245788587 PECOS PAC ID: 4880969526 Enrollment ID: I20171006000207 |
Provider Name | Laketra Whitney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932621190 PECOS PAC ID: 5597030197 Enrollment ID: I20171007000285 |
Provider Name | Melody Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639692627 PECOS PAC ID: 6709147465 Enrollment ID: I20180221002028 |
Provider Name | Keith Westerfield |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1376866848 PECOS PAC ID: 8921123563 Enrollment ID: I20190401001041 |
Provider Name | Ashley Annette Lee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700365731 PECOS PAC ID: 9436490331 Enrollment ID: I20190402001775 |
Provider Name | Saman Karl Jayasinghe |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306162672 PECOS PAC ID: 4183957889 Enrollment ID: I20190612001848 |
Provider Name | Rebecca Schrader |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730645888 PECOS PAC ID: 1254664873 Enrollment ID: I20190612002916 |
Provider Name | Kimberly Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295396901 PECOS PAC ID: 6709113566 Enrollment ID: I20190816001180 |
Provider Name | Rosemarie V Lazo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992351365 PECOS PAC ID: 0143550863 Enrollment ID: I20190924000648 |
Provider Name | Christopher C Givens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265950877 PECOS PAC ID: 9537435656 Enrollment ID: I20191003003670 |
Provider Name | Denise A Thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417434713 PECOS PAC ID: 5294066932 Enrollment ID: I20191011000450 |
Provider Name | Jeevan K Yenuganti |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1083801880 PECOS PAC ID: 8820368079 Enrollment ID: I20200324000444 |
Provider Name | Lara M Aguirre |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366071318 PECOS PAC ID: 6103236286 Enrollment ID: I20201030000763 |
Provider Name | Adjoa D Ofori-abebresse |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578926440 PECOS PAC ID: 8820383623 Enrollment ID: I20201113002432 |
Provider Name | Bernetta Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619487303 PECOS PAC ID: 5799024246 Enrollment ID: I20201214000731 |
Provider Name | Michelle D Brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982738175 PECOS PAC ID: 6305906652 Enrollment ID: I20210112002883 |
Provider Name | Kizzy S Woods |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083176374 PECOS PAC ID: 9133533920 Enrollment ID: I20210208001432 |
Provider Name | Demeka Underwood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821481516 PECOS PAC ID: 0547678781 Enrollment ID: I20210428000330 |
Provider Name | Lyssa Morris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710649611 PECOS PAC ID: 0345639019 Enrollment ID: I20211118001018 |
Provider Name | Michelle Ludwigsen |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568838001 PECOS PAC ID: 1456729474 Enrollment ID: I20221123001487 |
Provider Name | Tabitha L Accardo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528716164 PECOS PAC ID: 1951779578 Enrollment ID: I20221201001405 |
Provider Name | Ashley Williamson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912602004 PECOS PAC ID: 1355799073 Enrollment ID: I20231118000127 |
Provider Name | Anissa Womack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871209973 PECOS PAC ID: 3678936663 Enrollment ID: I20231129001330 |
Provider Name | Thimeka Carr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548032584 PECOS PAC ID: 3476904871 Enrollment ID: I20240110002741 |
Provider Name | Carrie Davidson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1376915942 PECOS PAC ID: 7214385319 Enrollment ID: I20240122003894 |
Provider Name | Sondra Hayes |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1871845784 PECOS PAC ID: 6103274204 Enrollment ID: I20240302000389 |
Provider Name | Diana Edens |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1013463884 PECOS PAC ID: 2961851258 Enrollment ID: I20240304001729 |
Provider Name | Cynthia A Sears |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1881989994 PECOS PAC ID: 6002265352 Enrollment ID: I20240304002405 |
St. Helena Parish Hospital Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19 N 1st St, Greensburg, LA 70441 Phone: 225-222-3681 Fax: 225-222-3279 | |
Southeast Community Health Systems - Substance Abuse Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 490 Sitman St., Greensburg, LA 70441 Phone: 225-222-6059 Fax: 225-222-6543 | |
Varnado Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6214 Hwy 10, Greensburg, LA 70441 Phone: 225-222-3206 Fax: 225-222-3190 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 N 1st St, Greensburg, LA 70441 Phone: 225-222-4413 | |
Albany Dental Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 490 Sitman Street, Greensburg, LA 70441 Phone: 225-222-6059 Fax: 225-222-6543 | |
Southeast Community Health Systems @ Middle School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1590 Hwy 1042, Greensburg, LA 70441 Phone: 225-222-6293 |