Healthcare Provider Details
I. General information
NPI: 1891913661
Provider Name (Legal Business Name): HEALTH CARE CENTERS IN SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/24/2007
Last Update Date: 03/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13700 PRIDE-PORT HUDSON ROAD
PRIDE LA
70770
US
IV. Provider business mailing address
PO BOX 64749
BATON ROUGE LA
70896-4749
US
V. Phone/Fax
- Phone: 225-343-9505
- Fax: 225-343-9141
- Phone: 225-343-9505
- Fax: 225-343-9141
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SUE
CATCHINGS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MA, CHES
Phone: 225-765-6690