Organization
JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC
Active
Other names
InclusivCare
Organization subpart
No
Provider details
NPI number
Authorized official
JOELLE M JESSIE SKINNER (BILLING SPECIALIST)
(504) 437-8523
Entity
Organization
Contact information
Practice address
3932 HIGHWAY 90 W, AVONDALE, LA 70094-2648
(504) 436-2223
(504) 436-2224
Mailing address
4028 U S HIGHWAY 90, AVONDALE, LA 70094
(504) 436-2223
(504) 436-2224
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452793
—
LA
Enumeration date
01/08/2007
Last updated
08/03/2021
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