=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871427138
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HIV-AIDS ALLIANCE FOR REGION TWO
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/11/2026
-----------------------------------------------------
Last Update Date | 06/11/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9002 WHITEHALL AVE RM 1011
-----------------------------------------------------
City | BATON ROUGE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70806-8699
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 225-655-6422
-----------------------------------------------------
Fax | 225-341-5557
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9516 AIRLINE HWY
-----------------------------------------------------
City | BATON ROUGE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70815-5501
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 225-655-6422
-----------------------------------------------------
Fax | 225-341-5557
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF OF STAFF
-----------------------------------------------------
Name | DAWN BEASLEY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 225-800-1325
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QF0400X
-----------------------------------------------------
Taxonomy Name | Federally Qualified Health Center (FQHC)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------