Organization
CAPITOL CITY FAMILY HEALTH CENTER INCORPORATED
Active
Parent organization
CAPITOL CITY FAMILY HEALTH CENTER INCORPORATED
Other names
CareSouth
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAPITOL CITY FAMILY HEALTH CENTER INCORPORATED
Authorized official
KENYA L. NELSON (FRONT OFFICE/BILLING MANAGER)
(225) 650-2000
Entity
Organization
Contact information
Practice address
904 CATALPA STREET, DONALDSONVILLE, LA 70346
(225) 264-6800
(225) 264-6630
Mailing address
PO BOX 66156, BATON ROUGE, LA 70896-6156
(225) 650-2000
(225) 650-2099
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2317733
—
LA
Enumeration date
08/08/2012
Last updated
10/31/2024
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