| West Jefferson Sbhc | |
|
2200 8th St Harvey LA 70058-4006 | |
| (504) 367-4407 | |
| Not Available |
| Full Name | West Jefferson Sbhc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2200 8th St, Harvey, Louisiana |
| Authorized Official Name and Position | Cyrous Ardalan (INTERIN CEO) |
| Authorized Official Contact | 5047628900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Jefferson Sbhc Po Box 2490 Marrero LA 70073-2490 Ph: (504) 762-8900 | West Jefferson Sbhc 2200 8th St Harvey LA 70058-4006 Ph: (504) 367-4407 |
| NPI Number | 1891052254 |
|---|---|
| Provider Enumeration Date | 04/23/2012 |
| Last Update Date | 04/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891052254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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