| Southeast Community Health Systems | |
|
336 East Railroad Avenue Independence LA 70443 | |
| (888) 414-7247 | |
| Not Available |
| Full Name | Southeast Community Health Systems |
|---|---|
| Speciality | Clinic/Center |
| Location | 336 East Railroad Avenue, Independence, Louisiana |
| Authorized Official Name and Position | Alecia Cyprian (CEO) |
| Authorized Official Contact | 2253062000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Community Health Systems Po Box 770 Zachary LA 70791-0770 Ph: (888) 414-7247 | Southeast Community Health Systems 336 East Railroad Avenue Independence LA 70443 Ph: (888) 414-7247 |
| NPI Number | 1053749739 |
|---|---|
| Provider Enumeration Date | 10/16/2013 |
| Last Update Date | 06/22/2020 |
| Medicare PECOS PAC ID | 4284610437 |
|---|---|
| Medicare Enrollment ID | O20140731000520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053749739 | NPI | - | NPPES |
| 2368567 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Southeast Community Health Systems Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55420 N. Railroad Avenue, Independence, LA 70443 Phone: 225-306-2000 | |
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