Active NPI
Access Health Louisiana
Doing business as Ruth U Fertel/Tulane Community Health Center
- Federally Qualified Health Center (FQHC)
- New Orleans, LA
National Provider Identifier
1063759066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- ACCESS HEALTH LOUISIANA
- Doing business as
- Ruth U Fertel/Tulane Community Health Center
- Practice address
- 711 N Broad St
New Orleans, LA 70119-4206 - Phone
- (985) 307-1600
- Fax
- (504) 575-3691
- NPI assigned
- Jan 10, 2013
- Last updated
- Aug 5, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Keiser
- Title
- President
- Phone
- (504) 575-3712
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary | ||
| Family Medicine Physician | 207Q00000X | LA |
Addresses
Primary practice location
711 N Broad St
New Orleans, LA 70119-4206
Mailing address
2900 Indiana Ave
Kenner, LA 70065-4605
Phone (504) 575-3712
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2324161 | Medicaid | LA |
Other names 1
- Ruth U Fertel/Tulane Community Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070801000053 | LA | Part B Supplier - Clinic/Group Practice | 3678484276 |
Receives reassigned benefits from 4 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Belle Chasse, LA; New Orleans, LA |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Access Health Louisiana at the Pythian
- Federally Qualified Health Center (FQHC)
- New Orleans, LA
- NPI 1316443716
O20070801000053
-
dba Belle Chasse Community Health Center
- Federally Qualified Health Center (FQHC)
- Belle Chasse, LA
- NPI 1619233814
O20070801000053
-
dba St Charles Community Health Center, Kenner
- Federally Qualified Health Center (FQHC)
- Kenner, LA
- NPI 1992800718
O20070801000053
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470355200000",
"number": "1063759066",
"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",
"fax_number": "504-575-3691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 N BROAD ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701194206",
"telephone_number": "985-307-1600",
"fax_number": "504-575-3691"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCESS HEALTH LOUISIANA",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-10",
"last_updated": "2016-08-05",
"status": "A",
"authorized_official_last_name": "KEISER",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "504-575-3712",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2324161",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ruth U Fertel/Tulane Community Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Orleans, LA
- Acadia Health, LLC (Just Kids Dental, LLC)
- Acadian Iom, LLC
- Gayle Accardi
- Chelsea Patricia Accardo, DDS
- Acceptable Health Services, LLC
- Access Health Louisiana (Ruth U Fertel/Tulane Community Health Center GNOCHC)
- Access Health Louisiana (Access Health Louisiana at the Pythian)
- Access Health Louisiana (Warren Easton High School SBHC)
- Access Health Louisiana (Acadian Care New Orleans)
- Access Health Louisiana (Cohen College Prep High School SBHC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.