| Jefferson Community Health Care Centers, Inc | |
|
5140 Church St Lafitte LA 70067-5256 | |
| (504) 689-3300 | |
| (504) 689-8223 |
| Full Name | Jefferson Community Health Care Centers, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5140 Church St, Lafitte, Louisiana |
| Authorized Official Name and Position | Shondra G Williams (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5047628931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Community Health Care Centers, Inc Po Box 2490 Marrero LA 70073-2490 Ph: (504) 437-8528 | Jefferson Community Health Care Centers, Inc 5140 Church St Lafitte LA 70067-5256 Ph: (504) 689-3300 |
| NPI Number | 1528483849 |
|---|---|
| Provider Enumeration Date | 02/24/2014 |
| Last Update Date | 02/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528483849 | NPI | - | NPPES |
| 2337238 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Jefferson Community Health Care Centers, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5140 Church St, Lafitte, LA 70067 Phone: 504-689-3300 | |
West Jefferson Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5140 Church St, Lafitte, LA 70067 Phone: 504-349-6525 Fax: 504-349-6529 |