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Organization

CAPITOL CITY FAMILY HEALTH CENTER, INCORPORATED

Active
Parent organization
CAPITOL CITY FAMILY HEALTH CENTER, INCORPORATED
Organization subpart
Yes

Provider details

NPI number
Legal business name
CAPITOL CITY FAMILY HEALTH CENTER, INCORPORATED
Authorized official
MAIMOUNA KEITA (CFO)
(225) 650-2000
Entity
Organization

Contact information

Practice address
4852 HIGHWAY 19 STE A, ZACHARY, LA 70791-3530
(225) 654-7000
(225) 654-7067
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

Enumeration date
06/08/2017
Last updated
10/31/2024
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