Organization
ACCESS HEALTH LOUISIANA
Active
Other names
St Tammany Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KEISER (PRESIDENT)
(504) 575-3700
Entity
Organization
Contact information
Practice address
501 ROBERT BLVD, SLIDELL, LA 70458-1667
(985) 607-0400
(504) 575-3691
Mailing address
2900 INDIANA AVE, KENNER, LA 70065-4605
(504) 575-3712
(504) 575-3691
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
LA
103T00000X
Psychologist
—
LA
1041C0700X
Clinical Social Worker
—
LA
207Q00000X
Family Medicine Physician
—
LA
208000000X
Pediatrics Physician
—
LA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1925349
—
LA
Enumeration date
04/28/2009
Last updated
08/05/2016
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