NPIMap

Organization Active NPI

Jefferson Community Health Care Centers

  • Federally Qualified Health Center (FQHC)
  • Marrero, LA
National Provider Identifier
1144520677
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
JEFFERSON COMMUNITY HEALTH CARE CENTERS
Practice address
1855 Ames Blvd
Marrero, LA 70072-3429
Phone
(504) 328-0488
Fax
(504) 328-0899
NPI assigned
Nov 1, 2010
Last updated
Nov 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Mr. Randolph J Fisher
Title
Interim Ceo
Phone
(504) 328-0488

Specialties & licenses 1

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

Addresses

Primary practice location

1855 Ames Blvd
Marrero, LA 70072-3429

Mailing address

1855 Ames Blvd
Marrero, LA 70072-3429
Phone (504) 328-0488

Other identifiers 1

IdentifierTypeStateIssuer
1015199MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Inclusivcare16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12324/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1144520677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 AMES BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723429",
            "telephone_number": "504-328-0488",
            "fax_number": "504-328-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 AMES BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723429",
            "telephone_number": "504-328-0488",
            "fax_number": "504-328-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COMMUNITY HEALTH CARE CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "504-328-0488",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015199",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.