| St Charles Community Health Center, Luling | |
|
2900 Indiana Ave Kenner LA 70065-4605 | |
| (504) 575-3712 | |
| (504) 575-3691 |
| Full Name | St Charles Community Health Center, Luling |
|---|---|
| Speciality | Clinic/Center |
| Location | 2900 Indiana Ave, Kenner, Louisiana |
| Authorized Official Name and Position | Mark Keiser (PRESIDENT) |
| Authorized Official Contact | 5045753700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Charles Community Health Center, Luling 2900 Indiana Ave Kenner LA 70065-4605 Ph: (504) 575-3712 | St Charles Community Health Center, Luling 2900 Indiana Ave Kenner LA 70065-4605 Ph: (504) 575-3712 |
| NPI Number | 1417999327 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 08/19/2016 |
| Medicare PECOS PAC ID | 3678484276 |
|---|---|
| Medicare Enrollment ID | O20030809000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417999327 | NPI | - | NPPES |
| 1444642 | Medicaid | LA |
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