Organization
JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYROUS ARDALAN DDS (INTERIM CEO)
(504) 762-8900
Entity
Organization
Contact information
Practice address
4300 PATRIOT ST, MARRERO, LA 70072-4305
(504) 762-8909
(504) 328-0899
Mailing address
PO BOX 2490, MARRERO, LA 70073-2490
(504) 762-8900
(504) 328-0899
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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