| Hahnville High Sbhc | |
|
200 Tiger Dr Boutte LA 70039-3520 | |
| (866) 530-6111 | |
| Not Available |
| Full Name | Hahnville High Sbhc |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 Tiger Dr, Boutte, Louisiana |
| Authorized Official Name and Position | Mark Keiser (CEO) |
| Authorized Official Contact | 5045753700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hahnville High Sbhc 2900 Indiana Ave Kenner LA 70065-4605 Ph: (504) 575-3712 | Hahnville High Sbhc 200 Tiger Dr Boutte LA 70039-3520 Ph: (866) 530-6111 |
| NPI Number | 1285393736 |
|---|---|
| Provider Enumeration Date | 12/13/2021 |
| Last Update Date | 04/20/2022 |
| Certification Date | 04/20/2022 |
| Medicare PECOS PAC ID | 3678484276 |
|---|---|
| Medicare Enrollment ID | O20220511001050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285393736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
Louisiana Happy Health LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13322 Highway 90 Ste J, Boutte, LA 70039 Phone: 985-338-2802 |