Organization
PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC.
Active
Parent organization
PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC
Other names
Jackson Complex Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC
Authorized official
CHRISTI C HUNT (CEO)
(225) 683-5292
Entity
Organization
Contact information
Practice address
3619 HIGHWAY 10, JACKSON, LA 70748
(225) 683-1360
(225) 634-0005
Mailing address
P.O. BOX 395, CLINTON, LA 70722-0395
(225) 683-5292
(225) 683-1310
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
LA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1448389
—
LA
Enumeration date
09/21/2006
Last updated
04/12/2022
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