Access Health Louisiana
Organization Active NPI Federally Qualified Health Center (FQHC) · Saint Rose, LA
NPI 1013239508 · NPPES record last updated Aug 5, 2016
Key facts
- NPI
- 1013239508
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- ACCESS HEALTH LOUISIANA
- Practice address
- 232 Pirate Drive
Saint Rose, LA 70087 - Phone
- (985) 308-6101
- Fax
- (504) 575-3691
- NPI assigned
- Feb 24, 2010
- Organization subpart
- No
Authorized official
- Name
- Mark Keiser
- Title
- President
- Phone
- (504) 575-3700
Corporate family (same tax ID) 14
National Provider Directory
- Tax ID family
- Access Health Lousisana
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | LA | ||
| Adult Medicine Physician |
207QA0505X | LA | ||
| Pediatrics Physician |
208000000X | LA | ||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
232 Pirate Drive
Saint Rose, LA 70087
Mailing address
2900 Indiana Ave
Kenner, LA 70065-4605
Phone (504) 575-3712
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2112317 | Medicaid | LA |
Other names
- Albert Cammon Wellness Center
Other providers in Saint Rose, LA
All providers in Saint Rose, LA · Federally Qualified Health Center (FQHC) in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.