| Brusly School Based Health | |
|
630 N Vaughan Dr Brusly LA 70719-2217 | |
| (225) 344-0008 | |
| (225) 343-0626 |
| Full Name | Brusly School Based Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 630 N Vaughan Dr, Brusly, Louisiana |
| Authorized Official Name and Position | Cindy Griffin Peavy (CEO) |
| Authorized Official Contact | 2256185015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brusly School Based Health 112 Telly St New Roads LA 70760-2521 Ph: (225) 618-5015 | Brusly School Based Health 630 N Vaughan Dr Brusly LA 70719-2217 Ph: (225) 344-0008 |
| NPI Number | 1013496561 |
|---|---|
| Provider Enumeration Date | 08/07/2018 |
| Last Update Date | 09/28/2026 |
| Certification Date | 09/28/2026 |
| Medicare PECOS PAC ID | 9931130358 |
|---|---|
| Medicare Enrollment ID | O20180919000362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013496561 | NPI | - | NPPES |
| 2480782 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
| 261QS1000X | Clinic/center - Student Health | (NU) | Secondary |
Westside Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 N Vaughan St, Brusly, LA 70719 Phone: 225-749-2645 Fax: 225-749-8216 |
Brusly Elementary School Based Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 S Labauve Ave, Brusly, LA 70719 Phone: 225-618-5015 Fax: 225-442-3107 |