Organization
EAST JEFFERSON COMMUNITY HEALTH CENTER
Active
Other names
EJCHC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA ANN BOWMAN (CO-CHAIR)
(504) 464-0032
Entity
Organization
Contact information
Practice address
11312 JEFFERSON HWY, RIVER RIDGE, LA 70123-1709
(504) 464-0032
(504) 466-3440
Mailing address
11312 JEFFERSON HWY, RIVER RIDGE, LA 70123-1709
(504) 464-0032
(504) 466-3440
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
80-001271
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1947652
—
LA
Enumeration date
02/09/2007
Last updated
08/22/2020
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