Access Health Louisiana

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

ACCESS HEALTH LOUISIANA

Doing business as

Lakeview High SBHC

Practice address

7305 Highway 9
Campti, LA 71411-4137

Phone

(866) 530-6111

NPI assigned

Aug 23, 2022

Last updated

Aug 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Keiser

Title

Ceo

Phone

(504) 575-3700

Specialties & licenses 1

Addresses

Other names 1

• Lakeview High SBHC Doing business as

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1043939176. Details of each certification follow.

• CCN 191130 Federally qualified health center · Active · Details
• CCN 191121 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 191130

Legal name

ACCESS HEALTH LOUISIANA

Doing business as

LAKEVIEW HIGH SBHC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jul 6, 2023

Last certification

Jul 6, 2023

Ownership / control type

For profit – corporation

Organization structure

OtherNon-profit

Incorporated

Mar 1, 2002 in LA

Enrollment address

7305 Highway 9
Campti, LA 71411-4137

Federally qualified health center certification: CCN 191121

Legal name

ACCESS HEALTH LOUISIANA

Doing business as

NATCHITOCHES CENTRAL HIGH SBHC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jun 29, 2023

Last certification

Jun 29, 2023

Ownership / control type

For profit – corporation

Organization structure

OtherNon-profit

Incorporated

Mar 1, 2002 in LA

Enrollment address

6513 Highway 1 Byp
Natchitoches, LA 71457-2628

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Access Health Louisiana

  dba Natchitoches Central High SBHC

  • Federally Qualified Health Center (FQHC)
  • Natchitoches, LA
  • NPI 1134848559

  O20230714003653

  Same enrollment

Locations

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.

All facility ownership & control disclosures 4

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

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1043939176",
    "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": "504-575-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 HIGHWAY 9",
            "city": "CAMPTI",
            "state": "LA",
            "postal_code": "714114137",
            "telephone_number": "866-530-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS HEALTH LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "KEISER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-575-3700"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview High SBHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bartley Enterprises (Lakeview Pharmacy)
• Mayshonna Winslow Bayonne
• Tina D Carter
• Christus Health Central Louisiana (Lakeview SBHC)
• Kelsey Giddings, MA, LPC

• Federally Qualified Health Center (FQHC) in Campti, LA
• Providers in Campti, LA by specialty
• Federally Qualified Health Center (FQHC) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.