JEFFERSON COMMUNITY HEALTH CARE CENTERS INC NPI 1558419275

NPI Information

NPI: 1558419275
Provider Name: JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC

Doing Business As: INCLUSIVCARE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
3932 HIGHWAY 90 W
AVONDALE, LA
ZIP 70094
Phone: (504) 436-2223
Get Directions

JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC is a federally qualified health center (fqhc) clinic center in Avondale, LA. JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC NPI is 1558419275. The provider is registered as an organization entity type.
The provider Is Doing Business As Inclusivcare.

The provider's business location address is:

3932 HIGHWAY 90 W
AVONDALE, LA
ZIP 70094-648
Phone: (504) 436-2223
Fax: (504) 436-2224

The provider's authorized official is Joelle M Jessie Skinner .
The authorized official title is Billing Specialist and has the following contact phone number (504) 437-8523.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 8/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1452793	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »