Organization
CAPITOL CITY FAMILY HEALTH CENTER INCORPORATED
Active
Parent organization
CAPITOL CITY FAMILY HEALTH CENTER, INC
Other names
CareSouth
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAPITOL CITY FAMILY HEALTH CENTER, INC
Authorized official
KENYA L NELSON CMA, CPC, RMC (CREDENTIALING/BILLING MANAGER)
(225) 650-2028
Entity
Organization
Contact information
Practice address
59340 RIVER WEST DR, SUITE A & B, PLAQUEMINE, LA 70764-6553
(225) 385-4742
(225) 385-4279
Mailing address
PO BOX 66156, BATON ROUGE, LA 70896-6156
(225) 650-2000
(225) 615-8212
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2356631
—
LA
Enumeration date
02/06/2014
Last updated
10/31/2024
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