Organization
ACCESS HEALTH LOUISIANA
Active
Other names
St Charles CHC, Kenner GNOCHC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KEISER (PRESIDENT)
(504) 575-3700
Entity
Organization
Contact information
Practice address
200 W ESPLANADE AVE, KENNER, LA 70065-2489
(504) 712-7800
(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
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2131796
—
LA
Enumeration date
10/28/2010
Last updated
08/19/2016
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