SOUTHEAST COMMUNITY HEALTH SYSTEMS NPI 1558515676

NPI Information

NPI: 1558515676
Provider Name: SOUTHEAST COMMUNITY HEALTH SYSTEMS

Doing Business As: SOUTHEAST COMMUNITY HEALTH SYSTEMS @ KENTWOOD

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
721 AVENUE G
KENTWOOD, LA
ZIP 70444
Phone: (985) 229-5507
Get Directions

SOUTHEAST COMMUNITY HEALTH SYSTEMS is a federally qualified health center (fqhc) clinic center in Kentwood, LA. SOUTHEAST COMMUNITY HEALTH SYSTEMS NPI is 1558515676. The provider is registered as an organization entity type.
The provider Is Doing Business As Southeast Community Health Systems @ Kentwood.

The provider's business location address is:

721 AVENUE G
KENTWOOD, LA
ZIP 70444-601
Phone: (985) 229-5507
Fax: (985) 229-6828

The provider's authorized official is Alecia Cyprian .
The authorized official title is Ceo and has the following contact phone number (225) 306-2000.

The enumeration date for this NPI number is 11/17/2008 and was last updated on 11/25/2014.

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	1806935	MEDICAID	LOUISIANA
2	191841	MEDICARE OSCAR/CERTIFICATION	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

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