MEDICARE: JUST HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QC1500X	Community Health Clinic/Center

General Provider Information

NPI Number	:	1538788666
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUST HEALTH

Provider Business Mailing Address
First Line	:	118 ARMOUR DR
Second Line	:
City	:	HOUMA
State	:	LA
Zip	:	70364-1805
Country	:	US
Telephone Number	:	318-447-1598
Fax Number	:

Provider Business Practice Location Address
First Line	:	310 MORGAN ST
Second Line	:
City	:	LAKE PROVIDENCE
State	:	LA
Zip	:	71254-2634
Country	:	US
Telephone Number	:	833-784-2669
Fax Number	:	844-784-2329

Authorized Official
Title or Position	:	ADMIN
Name	:	HEATH MICHAEL VEULEMAN
Credential	:
Telephone Number	:	318-447-1598

Provider Enumeration Date	:	04/09/2020
Last Update Date	:	06/08/2020

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