NPIMap

Organization Active NPI

Access Health Louisiana

Doing business as Pineville Jr High SBHC

  • Federally Qualified Health Center (FQHC)
  • Pineville, LA
National Provider Identifier
1245959626
Registry record updated Aug 26, 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
Pineville Jr High SBHC
Practice address
501 Edgewood Dr
Pineville, LA 71360-4524
Phone
(866) 530-6111
NPI assigned
Aug 26, 2022
Last updated
Aug 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 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 NU Primary

Addresses

Primary practice location

501 Edgewood Dr
Pineville, LA 71360-4524

Mailing address

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

Other names 1

  • Pineville Jr 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
O20230628000713 LA Part A Provider - Federally Qualified Health Center (FQHC) 3678484276 Practice locations: Pineville, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245959626. Details of each certification follow.

Federally qualified health center certification: CCN 191147

Legal name
ACCESS HEALTH LOUISIANA
Doing business as
PINEVILLE JR HIGH SBHC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 12, 2023
Last certification
Sep 12, 2023
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Jun 1, 2023 in LA
Enrollment address
501 Edgewood Dr
Pineville, LA 71360-4524

National Provider Directory

National Provider Directory
Tax ID family
Access Health Louisiana89 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

501 Edgewood Dr
Pineville, LA 71360
Phone (318) 640-1359

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 Nov 19, 2015
Germaine L Robottom Individual Corporate OfficerBoard Member Nov 19, 2015
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 May 31, 2018
John Cressend Schonberg Individual Corporate OfficerVice Chairman of the Board Mar 1, 2002
Timothy J. Vial Individual Corporate Officer 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

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1245959626",
    "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": "501 EDGEWOOD DR",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604524",
            "telephone_number": "866-530-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS HEALTH LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "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": "Pineville Jr High SBHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pineville, LA

Sources for this page

Verify at the official NPI Registry.