Organization
CAPITOL CITY FAMILY HEALTH CENTER INCORPORATED
Active
Other names
CareSouth
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KENYA L NELSON (BILLING/CREDENTIALING MANAGER)
(225) 650-2000
Entity
Organization
Contact information
Practice address
3140 FLORIDA STREET, BATON ROUGE, LA 70806
(225) 650-2000
(225) 650-2099
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
—
1948055
—
LA
Enumeration date
08/21/2006
Last updated
10/31/2024
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