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Access Health Louisiana

Organization Active NPI Federally Qualified Health Center (FQHC) · Kenner, LA

NPI 1306476874 · NPPES record last updated Jan 23, 2020

Key facts

NPI
1306476874
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
ACCESS HEALTH LOUISIANA
Practice address
4121 Medoc Dr
Kenner, LA 70065-1922
Phone
(866) 530-6111
NPI assigned
Jan 23, 2020
Organization subpart
No

Authorized official

Name
Mark Keiser
Title
Ceo
Phone
(504) 575-3700

Corporate family (same tax ID) 24

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Federally qualified health center certification: CCN 191047

Legal name
ACCESS HEALTH LOUISIANA
Doing business as
CHATEAU ESTATES ELEMENTARY SCHOOL SBHC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 15, 2020
Last certification
Jul 15, 2020
Ownership / control type
For profit – corporation
Organization structure
Other · Non-profit
Incorporated
Apr 1, 2003 in LA
Enrollment address
4121 Medoc Dr
Kenner, LA 70065-1922

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 Director Mar 25, 2016
Germaine L Robottom
Individual 		Corporate Officer Apr 23, 2015
Estelle Alfortish
Individual 		Corporate Officer Feb 23, 2017
Gaynell Alexander-Coleman
Individual 		Corporate Officer Jan 1, 2006
Brooks Trotter
Individual 		Corporate Officer Apr 1, 2003
Jesse Babin
Individual 		Corporate Officer
Board Member		 Apr 23, 2023
Mark Francis Keiser
Individual 		Corporate Director Apr 1, 2003
W-2 Managing Employee
Ceo		 Apr 1, 2023
Sandra Zimmer
Individual 		Corporate Officer Oct 25, 2018
Billy Raymond
Individual 		Corporate Officer
Board Member		 Apr 24, 2025
John Cressend Schonberg
Individual 		Corporate Officer Apr 1, 2003
Timothy J. Vial
Individual 		Corporate Officer Apr 1, 2003

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 SBHC
Vacherie, LA · CCN 191087		 Federally qualified health center Operational/Managerial Control Apr 1, 2003
Kenner Community Health Center
Kenner, LA · CCN 191096		 Federally qualified health center Operational/Managerial Control Apr 1, 2003
Luling Elementary School SBHC
Luling, LA · CCN 191100		 Federally qualified health center Operational/Managerial Control Apr 1, 2003
Destrehan HS SBHC
Destrehan, LA · CCN 191104		 Federally qualified health center Operational/Managerial Control Apr 1, 2003

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20200818000362 LA Part a Provider - Federally Qualified Health Center (FQHC) 3678484276 Practice locations: Kenner, LA

National Provider Directory

Tax ID family
Access Health Lousisana (89 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

4121 Medoc Dr
Kenner, LA 70065-1922

Mailing address

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

Other names

  • Chateau Estates Elementary School SBHC Doing business as

Other providers in Kenner, LA

All providers in Kenner, LA · Federally Qualified Health Center (FQHC) in Louisiana

Sources for this page

Verify at the official NPI Registry.