Healthcare Provider Details

I. General information

NPI: 1033348081
Provider Name (Legal Business Name): ST HELENA COMMUNITY HEALTH CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2009
Last Update Date: 11/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

490 SITMAN ST.
GREENSBURG LA
70441
US

IV. Provider business mailing address

PO BOX 1207
GREENSBURG LA
70441-1207
US

V. Phone/Fax

Practice location:
  • Phone: 225-222-6059
  • Fax: 225-222-6543
Mailing address:
  • Phone: 225-222-6059
  • Fax: 225-222-6543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: MS. SELINA SENEGAL
Title or Position: CEO
Credential:
Phone: 225-225-6059