| Southeast Community Health Systems @ Kentwood | |
|
721 Avenue G Kentwood LA 70444-2601 | |
| (985) 229-5507 | |
| (985) 229-6828 |
| Full Name | Southeast Community Health Systems @ Kentwood |
|---|---|
| Speciality | Clinic/Center |
| Location | 721 Avenue G, Kentwood, 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 @ Kentwood Po Box 770 Zachary LA 70791-0770 Ph: (225) 306-2000 | Southeast Community Health Systems @ Kentwood 721 Avenue G Kentwood LA 70444-2601 Ph: (985) 229-5507 |
| NPI Number | 1558515676 |
|---|---|
| Provider Enumeration Date | 11/17/2008 |
| Last Update Date | 11/25/2014 |
| Medicare PECOS PAC ID | 4284610437 |
|---|---|
| Medicare Enrollment ID | O20040628000896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558515676 | NPI | - | NPPES |
| 1806935 | 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: 603 9th St, Kentwood, LA 70444 Phone: 985-514-2085 | |
Southeast Community Health Systems Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1459 Service Rd, Kentwood, LA 70444 Phone: 888-414-7247 Fax: 225-658-1282 | |
Southeast Community Health Systems Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 68495 Highway 1054, Kentwood, LA 70444 Phone: 225-306-2000 Fax: 225-658-1282 | |
Southeast Community Health Systems Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15649 Highway 440, Kentwood, LA 70444 Phone: 225-306-2000 Fax: 225-658-1282 | |
Southeast Community Health Systems Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15841 Highway 440, Kentwood, LA 70444 Phone: 225-306-2000 Fax: 225-658-1282 | |
Schilling Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 Avenue G, Kentwood, LA 70444 Phone: 985-269-1817 |