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ACCESS HEALTH LOUISIANA NPI 1720321169


NPI Information

NPI: 1720321169
Provider Name: ACCESS HEALTH LOUISIANA

Doing Business As: ST TAMMANY COMMUNITY HEALTH CENTER COVINGTON

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1301 N FLORIDA ST
COVINGTON, LA
ZIP 70433
Phone: (985) 400-5340
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ACCESS HEALTH LOUISIANA is a federally qualified health center (fqhc) clinic center in Covington, LA. ACCESS HEALTH LOUISIANA NPI is 1720321169. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Tammany Community Health Center Covington.

The provider's business location address is:

1301 N FLORIDA ST
COVINGTON, LA
ZIP 70433-595
Phone: (985) 400-5340
Fax: (504) 575-3691

The provider's authorized official is Mark Keiser .
The authorized official title is President and has the following contact phone number (504) 575-3700.

The enumeration date for this NPI number is 4/4/2013 and was last updated on 8/5/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial Worker6521LOUISIANANo
2207Q00000XFamily MedicineMD.06533RLOUISIANANo
3261QF0400XClinic/CenterFederally 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15CD42MEDICARE PINLOUISIANA
22336215MEDICAIDLOUISIANA
3191907MEDICARE PINLOUISIANA

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: 4/28/2024

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.