Organization
SOUTHEAST COMMUNITY HEALTH SYSTEMS
Active
Other names
Southeast Community Health Systems Northwestern Elementary
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA FOSTER (CREDENTIALING SPECIALIST)
(225) 306-2067
Entity
Organization
Contact information
Practice address
4200 POPE ROAD, STE 504, ZACHARY, LA 70791
(225) 306-2000
(225) 658-9443
Mailing address
PO BOX 770, ZACHARY, LA 70791-0770
(225) 306-2067
(225) 658-9443
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
04/25/2023
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