Jefferson Community Health Care Centers, Inc | |
2200 8th St Harvey LA 70058-4006 | |
(504) 367-4407 | |
Not Available |
Full Name | Jefferson Community Health Care Centers, Inc |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 2200 8th St, Harvey, Louisiana |
Authorized Official Name and Position | Cyrous Ardalan (INTERIN CEO) |
Authorized Official Contact | 5047628900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jefferson Community Health Care Centers, Inc Po Box 2490 Marrero LA 70073-2490 Ph: (504) 762-8900 | Jefferson Community Health Care Centers, Inc 2200 8th St Harvey LA 70058-4006 Ph: (504) 367-4407 |
NPI Number | 1891052254 |
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Provider Enumeration Date | 04/23/2012 |
Last Update Date | 04/23/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891052254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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