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Access Health Louisiana

Organization Active NPI Federally Qualified Health Center (FQHC) · Marrero, LA

NPI 1013633775 · NPPES record last updated Oct 14, 2022

Key facts

NPI
1013633775
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
ACCESS HEALTH LOUISIANA
Practice address
5417 Ehret Rd
Marrero, LA 70072-5309
Phone
(504) 575-3712
NPI assigned
Oct 14, 2022
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 16

Organizations that report the same tax identification number in the National Provider Directory.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

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
Other · Non-profit
Incorporated
Apr 1, 2003 in LA
Enrollment address
5417 Ehret Rd
Marrero, LA 70072-5309

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 SBHC
Vacherie, LA · CCN 191087		 Federally qualified health center Operational/Managerial Control Apr 1, 2003
Kenner Community Health Center
Kenner, LA · CCN 191096		 Federally qualified health center Operational/Managerial Control Apr 1, 2003
Luling Elementary School SBHC
Luling, LA · CCN 191100		 Federally qualified health center Operational/Managerial Control Apr 1, 2003
Destrehan HS SBHC
Destrehan, LA · CCN 191104		 Federally qualified health center Operational/Managerial Control Apr 1, 2003

Medicare enrollment records

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

National Provider Directory

Tax ID family
Access Health Lousisana (89 organizations share this tax ID)

Specialties & licenses

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

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

  • Harry S. Truman School SBHC Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 14, 2022.

{
    "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

All providers in Marrero, LA · Federally Qualified Health Center (FQHC) in Louisiana

Sources for this page

Verify at the official NPI Registry.