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Access Health Louisiana

Clinic/Center, Federally Qualified Health Center (FQHC) in Saint Rose, LA. Organization (NPI-2).

NPI number1013239508
StatusActive
Last updated in NPPESAug 5, 2016

Details

NPI
1013239508
Entity type
Organization (NPI-2)
Legal business name
Access Health Louisiana
Organization subpart
No
Enumeration date
Feb 24, 2010
Last updated
Aug 5, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)––Yes
101YM0800X Counselor, Mental Health–LA
207QA0505X Family Medicine, Adult Medicine–LA
208000000X Pediatrics–LA

Other names

  • Albert Cammon Wellness Center (Doing Business As)

Practice location

232 Pirate Drive
Saint Rose, LA 70087

Phone 985-308-6101 · Fax 504-575-3691

Mailing address

2900 Indiana Ave
Kenner, LA 70065-4605

Phone 504-575-3712 · Fax 504-575-3691

Authorized official

Mark Keiser
President
5045753700

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