MEDICARE: JOY COMMUNITY HEALTH CENTER INC.

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1619924982
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOY COMMUNITY HEALTH CENTER INC.

Provider Business Mailing Address
First Line	:	411 EAST AIRPORT AVENUE
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806
Country	:	US
Telephone Number	:	225-929-7239
Fax Number	:	225-926-8590

Provider Business Practice Location Address
First Line	:	8676 GOODWOOD BLVD
Second Line	:	SUITE 106
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-7914
Country	:	US
Telephone Number	:	225-929-7239
Fax Number	:	225-926-8590

Authorized Official
Title or Position	:	OWNER
Name	:	MS. MARTHA ANN BANKS-KIRK
Credential	:
Telephone Number	:	225-929-7239

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	06/13/2017

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