Organization
SOUTHEAST COMMUNITY HEALTH SYSTEMS
Active
Other names
Southeast Community Health Systems @ Chaneyville
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALECIA CYPRIAN PHD (CEO)
(225) 306-2000
Entity
Organization
Contact information
Practice address
6351 MAIN ST, ZACHARY, LA 70791-4038
(225) 306-2000
(225) 658-1282
Mailing address
PO BOX 770, ZACHARY, LA 70791-0770
(225) 306-2000
(225) 658-1282
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1806943
—
LA
Enumeration date
07/08/2009
Last updated
11/25/2014
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