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NPI Code Detail

MEDICARE: ACCESS HEALTH LOUISIANA

MEDICARE: ACCESS HEALTH LOUISIANA
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
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1578929105
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACCESS HEALTH LOUISIANA
Provider Business Mailing Address
First Line : 2900 INDIANA AVE
Second Line :
City : KENNER
State : LA
Zip : 70065-4605
Country : US
Telephone Number : 504-575-3712
Fax Number : 504-575-3691
Provider Business Practice Location Address
First Line : 9372 HIGHWAY 165 S
Second Line :
City : WOODWORTH
State : LA
Zip : 71485-9786
Country : US
Telephone Number : 504-575-3712
Fax Number : 504-575-3691
Authorized Official
Title or Position : CEO
Name : MARK KEISER
Credential :
Telephone Number : 504-575-3712
Provider Enumeration Date : 01/12/2016
Last Update Date : 08/05/2016

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Directions to “ACCESS HEALTH LOUISIANA ” Practice Location

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