| East Jefferson Community Health Center | |
| 
					11312 Jefferson Hwy River Ridge LA 70123-1709  | |
| (504) 464-0032 | |
| (504) 466-3440 | 
| Full Name | East Jefferson Community Health Center | 
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) | 
| Location | 11312 Jefferson Hwy, River Ridge, Louisiana | 
| Authorized Official Name and Position | Patricia Ann Bowman (CO-CHAIR) | 
| Authorized Official Contact | 5044640032 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| East Jefferson Community Health Center 11312 Jefferson Hwy River Ridge LA 70123-1709 Ph: (504) 464-0032  | East Jefferson Community Health Center 11312 Jefferson Hwy River Ridge LA 70123-1709 Ph: (504) 464-0032  | 
| NPI Number | 1174664510 | 
|---|---|
| Provider Enumeration Date | 02/09/2007 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1174664510 | NPI | - | NPPES | 
| 1947652 | Medicaid | LA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 80-001271 (Louisiana) | Primary | 
Ochsner Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9605 Jefferson Hwy, River Ridge, LA 70123 Phone: 504-739-9494  | |
Ochsner Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9605 Jefferson Hwy, River Ridge, LA 70123 Phone: 504-738-1604  | |
Robert W. Mccord M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9605 Jefferson Hwy, Ste. F, River Ridge, LA 70123 Phone: 504-737-1600 Fax: 504-737-1264  |