NPIMap

Organization Active NPI

Access Health Louisiana

Doing business as Harry S. Truman School SBHC

  • Federally Qualified Health Center (FQHC)
  • Marrero, LA
National Provider Identifier
1013633775
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ACCESS HEALTH LOUISIANA
Doing business as
Harry S. Truman School SBHC
Practice address
5417 Ehret Rd
Marrero, LA 70072-5309
Phone
(504) 575-3712
NPI assigned
Oct 14, 2022
Last updated
Oct 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark Keiser
Title
Ceo/President
Phone
(504) 575-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

5417 Ehret Rd
Marrero, LA 70072-5309

Mailing address

2900 Indiana Ave
Kenner, LA 70065-4605
Phone (504) 575-3712

Other names 1

  • Harry S. Truman School SBHC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230120000492 LA Part A Provider - Federally Qualified Health Center (FQHC) 3678484276 Practice locations: Marrero, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013633775. Details of each certification follow.

Federally qualified health center certification: CCN 191116

Legal name
ACCESS HEALTH LOUISIANA
Doing business as
HARRY S. TRUMAN SCHOOL SBHC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 17, 2023
Last certification
Jan 17, 2023
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Apr 1, 2003 in LA
Enrollment address
5417 Ehret Rd
Marrero, LA 70072-5309

National Provider Directory

National Provider Directory
Tax ID family
St Charles Community Health Center Inc89 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Peter Torsch Individual Corporate Officer Apr 1, 2017
Corporate Director Apr 1, 2017
W-2 Managing Employee Apr 1, 2017
Germaine L Robottom Individual Corporate Officer Apr 23, 2020
Estelle Alfortish Individual Corporate Officer Apr 23, 2021
Gaynell Alexander-Coleman Individual Corporate Officer Apr 2, 2022
Brooks Trotter Individual Corporate Officer Mar 30, 2020
Scott Falgoust Individual Corporate Officer Apr 24, 2020
Mark Francis Keiser Individual Corporate Officer Apr 1, 2002
Corporate Director Apr 1, 2002
W-2 Managing Employee Apr 1, 2002
Sandra Zimmer Individual Corporate Officer Apr 23, 2021
John Cressend Schonberg Individual Corporate Officer Apr 23, 2021
Timothy J. Vial Individual Corporate Officer Mar 1, 2002
Wendy Benedeto Individual Corporate Officer Apr 23, 2022

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St James Alternative School SBHCVacherie, LA, CCN 191087 Federally qualified health center Operational/Managerial Control Apr 1, 2003
Kenner Community Health CenterKenner, LA, CCN 191096 Federally qualified health center Operational/Managerial Control Apr 1, 2003
Luling Elementary School SBHCLuling, LA, CCN 191100 Federally qualified health center Operational/Managerial Control Apr 1, 2003
Destrehan HS SBHCDestrehan, LA, CCN 191104 Federally qualified health center Operational/Managerial Control Apr 1, 2003

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1013633775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 INDIANA AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700654605",
            "telephone_number": "504-575-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5417 EHRET RD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700725309",
            "telephone_number": "504-575-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS HEALTH LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "KEISER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "504-575-3700"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harry S. Truman School SBHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.