Organization
PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC.
Active
Parent organization
PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC
Other names
WBR Primary Care at Port Allen High School
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC
Authorized official
CHRISIT C HUNT (CEO)
(225) 683-5292
Entity
Organization
Contact information
Practice address
3553 ROSEDALE RD, PORT ALLEN, LA 70767-4347
(225) 234-0227
(225) 683-1317
Mailing address
PO BOX 395, CLINTON, LA 70722-0395
(225) 683-5292
(225) 683-1310
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
LA
Enumeration date
06/06/2022
Last updated
06/06/2022
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