| Southeast Community Health Systems | |
|
30575 Old Baton Rouge Highway Hammond LA 70403 | |
| (225) 306-2050 | |
| (225) 567-6962 |
| Full Name | Southeast Community Health Systems |
|---|---|
| Speciality | Clinic/Center |
| Location | 30575 Old Baton Rouge Highway, Hammond, Louisiana |
| Authorized Official Name and Position | Alecia Cyprian (CEO) |
| Authorized Official Contact | 2253062000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Community Health Systems Po Box 770 Zachary LA 70791-0770 Ph: (225) 306-2000 | Southeast Community Health Systems 30575 Old Baton Rouge Highway Hammond LA 70403 Ph: (225) 306-2050 |
| NPI Number | 1366617367 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 03/23/2017 |
| Medicare PECOS PAC ID | 4284610437 |
|---|---|
| Medicare Enrollment ID | O20120808000592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366617367 | NPI | - | NPPES |
| 1061115 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Corey Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205882420 PECOS PAC ID: 8729060777 Enrollment ID: I20040603000336 |
| Provider Name | Marvin Trotter |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649374992 PECOS PAC ID: 1759344625 Enrollment ID: I20041111000094 |
| Provider Name | Debralee A Populis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346323235 PECOS PAC ID: 2668577552 Enrollment ID: I20070423000086 |
| Provider Name | Geneva Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245788587 PECOS PAC ID: 4880969526 Enrollment ID: I20171006000207 |
| Provider Name | Lucy R Mikell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710463856 PECOS PAC ID: 1850640160 Enrollment ID: I20180820003540 |
| Provider Name | Kimberly Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295396901 PECOS PAC ID: 6709113566 Enrollment ID: I20190816001180 |
| Provider Name | Rosemarie V Lazo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992351365 PECOS PAC ID: 0143550863 Enrollment ID: I20190924000648 |
| Provider Name | Christopher C Givens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265950877 PECOS PAC ID: 9537435656 Enrollment ID: I20191003003670 |
| Provider Name | Denise A Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417434713 PECOS PAC ID: 5294066932 Enrollment ID: I20191011000450 |
| Provider Name | Jeevan K Yenuganti |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1083801880 PECOS PAC ID: 8820368079 Enrollment ID: I20200324000444 |
| Provider Name | Lara M Aguirre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366071318 PECOS PAC ID: 6103236286 Enrollment ID: I20201030000763 |
| Provider Name | Kizzy S Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083176374 PECOS PAC ID: 9133533920 Enrollment ID: I20210208001432 |
| Provider Name | Michelle Ludwigsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568838001 PECOS PAC ID: 1456729474 Enrollment ID: I20221123001487 |
| Provider Name | Tabitha L Accardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528716164 PECOS PAC ID: 1951779578 Enrollment ID: I20221201001405 |
| Provider Name | Anna Ardoin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750166229 PECOS PAC ID: 8820444102 Enrollment ID: I20231023001841 |
| Provider Name | Derrien D Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316646706 PECOS PAC ID: 4385094143 Enrollment ID: I20231220002413 |
| Provider Name | Thimeka Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548032584 PECOS PAC ID: 3476904871 Enrollment ID: I20240110002741 |
| Provider Name | Carrie Davidson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376915942 PECOS PAC ID: 7214385319 Enrollment ID: I20240122003894 |
| Provider Name | Sondra Hayes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871845784 PECOS PAC ID: 6103274204 Enrollment ID: I20240302000389 |
| Provider Name | Diana Edens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013463884 PECOS PAC ID: 2961851258 Enrollment ID: I20240304001729 |
| Provider Name | Cynthia A Sears |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881989994 PECOS PAC ID: 6002265352 Enrollment ID: I20240304002405 |
| Provider Name | Keionnia Stagg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841067923 PECOS PAC ID: 4183066467 Enrollment ID: I20240531003171 |
| Provider Name | Deshanda N May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891485249 PECOS PAC ID: 0648611491 Enrollment ID: I20240718005016 |
| Provider Name | Laquanta Deondrigue Fontenot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154175701 PECOS PAC ID: 3779023924 Enrollment ID: I20240913003092 |
| Provider Name | Caleshia P Gaines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841020773 PECOS PAC ID: 2860922978 Enrollment ID: I20250205000057 |
| Provider Name | Ashley Henderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639523947 PECOS PAC ID: 4981120169 Enrollment ID: I20250430002732 |
Internal Medicine Of Hammond, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1004 W Thomas St, Hammond, LA 70401 Phone: 985-230-4466 | |
Total Healthcare Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15825 Professional Plz, Suite C, Hammond, LA 70403 Phone: 985-662-5776 Fax: 985-662-5718 | |
Accessible Walk-in Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1206 J W Davis Dr Ste 102, Hammond, LA 70403 Phone: 985-956-7370 Fax: 985-956-7371 | |
Primary Care Providers For A Healthy Feliciana Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 S Range Rd, Hammond, LA 70403 Phone: 225-683-5292 Fax: 225-683-1310 | |
Primary Care Providers For A Healthy Feliciana Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 47370 N Morrison Blvd, Hammond, LA 70401 Phone: 225-683-5292 Fax: 225-683-1310 | |
Her Aesthetics Medical Spa Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W Morris Ave Ste B, Hammond, LA 70403 Phone: 985-662-8806 Fax: 985-214-8232 | |
Primary Care Providers For A Healthy Feliciana Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 Pfc Matthew E Wildes St, Hammond, LA 70403 Phone: 225-683-5292 Fax: 225-683-1310 |