Organization
HIV-AIDS ALLIANCE FOR REGION TWO
Active
Other names
Open Health Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TIM YOUNG (CEO)
(225) 424-1800
Entity
Organization
Contact information
Practice address
3801 NORTH BLVD, BATON ROUGE, LA 70806-3825
(225) 655-6422
(225) 341-5903
Mailing address
9516 AIRLINE HWY, BATON ROUGE, LA 70815-5501
(225) 655-6422
(225) 341-5903
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2431943
—
LA
Enumeration date
09/14/2015
Last updated
06/08/2023
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