Organization
ACCESS HEALTH LOUISIANA
Active
Other names
Bogalusa HS SBHC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KEISER (CEO)
(504) 575-3700
Entity
Organization
Contact information
Practice address
100 M J ISRAEL DR, BOGALUSA, LA 70427-3757
(985) 307-1600
(504) 575-3691
Mailing address
2900 INDIANA AVE, KENNER, LA 70065-4605
(504) 575-3712
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/08/2019
Last updated
06/08/2019
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