NPIMap

Organization Active NPI

Access Health Louisiana

Doing business as Natchitoches Central High SBHC

  • Federally Qualified Health Center (FQHC)
  • Natchitoches, LA
National Provider Identifier
1134848559
Registry record updated Sep 8, 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
Natchitoches Central High SBHC
Practice address
6513 Highway 1South Bypass
Natchitoches, LA 71457-2628
Phone
(866) 530-6111
NPI assigned
Aug 29, 2022
Last updated
Sep 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

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

Addresses

Primary practice location

6513 Highway 1South Bypass
Natchitoches, LA 71457-2628

Mailing address

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

Other names 1

  • Natchitoches Central High SBHC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230714003653 LA Part A Provider - Federally Qualified Health Center (FQHC) 3678484276 1 other NPI on this enrollment
Practice locations: Natchitoches, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1134848559. Details of each certification follow.

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.

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 24

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

View all 24

Locations

6513 Highway 1 Byp
Natchitoches, LA 71457
Phone (318) 354-1393

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 OfficerCfo Nov 19, 2015
Corporate DirectorCfo Mar 1, 2002
Germaine L Robottom Individual Corporate OfficerBoard Member Jan 16, 2014
Estelle Alfortish Individual Corporate OfficerBoard Member Feb 23, 2017
Gaynell Alexander-Coleman Individual Corporate OfficerBoard Member Jan 6, 2014
Brooks Trotter Individual Corporate OfficerBoard Member Apr 23, 2015
Scott Falgoust Individual Corporate OfficerBoard Member May 31, 2018
Mark Francis Keiser Individual Corporate OfficerCeo Mar 1, 2002
Corporate DirectorCeo Mar 1, 2002
W-2 Managing EmployeeCeo Mar 1, 2002
Sandra Zimmer Individual Corporate OfficerBoard Member Feb 23, 2017
John Cressend Schonberg Individual Corporate OfficerVice Chairman of the Board Mar 1, 2002
Timothy J. Vial Individual Corporate OfficerChairman of the Board Mar 1, 2002
Wendy Benedeto Individual Corporate OfficerBoard Member 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 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1134848559",
    "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": "6513 HIGHWAY 1SOUTH BYPASS",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714572628",
            "telephone_number": "866-530-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS HEALTH LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natchitoches Central High SBHC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Natchitoches Central High SBHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natchitoches, LA

Sources for this page

Verify at the official NPI Registry.