EAST JEFFERSON COMMUNITY HEALTH CENTER NPI 1174664510

NPI Information

EAST JEFFERSON COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in River Ridge, LA. EAST JEFFERSON COMMUNITY HEALTH CENTER NPI is 1174664510. The provider is registered as an organization entity type.
The provider Is Doing Business As Ejchc.

The provider's business location address is:

11312 JEFFERSON HWY
RIVER RIDGE, LA
ZIP 70123-709
Phone: (504) 464-0032
Fax: (504) 466-3440

The provider's authorized official is Patricia Ann Bowman .
The authorized official title is Co-chair and has the following contact phone number (504) 464-0032.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 8/22/2020.

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:

Other Identifiers

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

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