Organization
SOUTHEAST COMMUNITY HEALTH SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALECIA CYPRIAN PHD (CEO)
(225) 306-2000
Entity
Organization
Contact information
Practice address
336 EAST RAILROAD AVENUE, INDEPENDENCE, LA 70443
(888) 414-7247
Mailing address
PO BOX 770, ZACHARY, LA 70791-0770
(888) 414-7247
(225) 658-1282
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2368567
—
LA
Enumeration date
10/16/2013
Last updated
06/22/2020
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