Organization
ACCESS HEALTH LOUISIANA
Active
Other names
AHL SBHC Paradis La.
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KEISER (PRESIDENT)
(504) 575-3700
Entity
Organization
Contact information
Practice address
434 SOUTH ST, PARADIS, LA 70080-2244
(985) 306-0414
(504) 575-3691
Mailing address
2900 INDIANA AVE, KENNER, LA 70065-4605
(504) 575-3712
(504) 575-3691
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6505
LA
207Q00000X
Family Medicine Physician
AP05965
LA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2370847
—
LA
Enumeration date
06/04/2014
Last updated
08/05/2016
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