Healthcare Provider Details
I. General information
NPI: 1568825925
Provider Name (Legal Business Name): NEIGHBORHOOD HEALTH PRIMARY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/03/2016
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16158 AIRLINE HWY STE 103
PRAIRIEVILLE LA
70769-4212
US
IV. Provider business mailing address
16158 AIRLINE HWY STE 103
PRAIRIEVILLE LA
70769-4222
US
V. Phone/Fax
- Phone: 225-963-9355
- Fax: 225-314-9355
- Phone: 225-963-9355
- Fax: 225-314-9355
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HEATHER
BEST
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 225-963-9355