| Hiv-aids Alliance For Region Two | |
|
5601 Upton Dr Rm D117 Baton Rouge LA 70809-3140 | |
| (225) 655-6422 | |
| Not Available |
| Full Name | Hiv-aids Alliance For Region Two |
|---|---|
| Speciality | Clinic/Center |
| Location | 5601 Upton Dr Rm D117, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Tim Young (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2254241800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hiv-aids Alliance For Region Two 9516 Airline Hwy Baton Rouge LA 70815-5501 Ph: (225) 655-6422 | Hiv-aids Alliance For Region Two 5601 Upton Dr Rm D117 Baton Rouge LA 70809-3140 Ph: (225) 655-6422 |
| NPI Number | 1316704000 |
|---|---|
| Provider Enumeration Date | 02/29/2024 |
| Last Update Date | 02/29/2024 |
| Medicare PECOS PAC ID | 4880981158 |
|---|---|
| Medicare Enrollment ID | O20240506003547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316704000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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