| Jefferson Community Health Care Centers, Inc | |
|
1429 Ames Blvd Marrero LA 70072-2867 | |
| (504) 341-4006 | |
| (504) 436-3665 |
| Full Name | Jefferson Community Health Care Centers, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1429 Ames Blvd, Marrero, Louisiana |
| Authorized Official Name and Position | Wanda Rose (CFO) |
| Authorized Official Contact | 5042067738 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Community Health Care Centers, Inc Po Box 2490 Marrero LA 70073-2490 Ph: (504) 437-8523 | Jefferson Community Health Care Centers, Inc 1429 Ames Blvd Marrero LA 70072-2867 Ph: (504) 341-4006 |
| NPI Number | 1215612742 |
|---|---|
| Provider Enumeration Date | 06/21/2023 |
| Last Update Date | 06/21/2023 |
| Medicare PECOS PAC ID | 7911961115 |
|---|---|
| Medicare Enrollment ID | O20230815003189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215612742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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