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Access Health Louisiana

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

NPI 1326767435 · NPPES record last updated Aug 23, 2022

Key facts

NPI
1326767435
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
ACCESS HEALTH LOUISIANA
Practice address
207 Griffith St
Pineville, LA 71360-5267
Phone
(866) 530-6111
NPI assigned
Aug 23, 2022
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 191131

Legal name
ACCESS HEALTH LOUISIANA
Doing business as
LESSIE MOORE ELEMENTARY SBHC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 20, 2023
Last certification
Jul 20, 2023
Ownership / control type
For profit – corporation
Organization structure
Other · Non-profit
Incorporated
Apr 1, 2003 in LA
Enrollment address
207 Griffith St
Pineville, LA 71360-5267

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 Officer
Cfo		 Nov 19, 2015
Corporate Director
Cfo		 Nov 15, 2019
Germaine L Robottom
Individual 		Corporate Officer Nov 15, 2015
Estelle Alfortish
Individual 		Corporate Officer
Board Member		 Jan 6, 2014
Gaynell Alexander-Coleman
Individual 		Corporate Officer
Board Member		 Apr 23, 2016
Brooks Trotter
Individual 		Corporate Officer
Board Member		 Apr 23, 2015
Scott Falgoust
Individual 		Corporate Officer
Board Member		 Apr 24, 2020
Mark Francis Keiser
Individual 		Corporate Officer Mar 1, 2002
Corporate Director
Ceo		 Mar 1, 2002
W-2 Managing Employee Mar 1, 2002
Sandra Zimmer
Individual 		Corporate Officer
Board Member		 Oct 25, 2018
John Cressend Schonberg
Individual 		Corporate Officer
Vice Chairman of the Board		 Mar 1, 2002
Timothy J. Vial
Individual 		Corporate Officer
Board Member		 May 31, 2018
Wendy Benedeto
Individual 		Corporate Officer
Board Member		 Apr 2, 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 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
O20230720003030 LA Part a Provider - Federally Qualified Health Center (FQHC) 3678484276 Practice locations: Pineville, LA

National Provider Directory

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

Locations

287 Main St
Moreauville, LA 71355
Phone (318) 229-1881

9372 Highway 165 S
Woodworth, LA 71485
Phone (318) 484-9588

Specialties & licenses

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

Addresses

Primary practice location

207 Griffith St
Pineville, LA 71360-5267

Mailing address

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

Other names

  • Lessie Moore Elementary SBHC Doing business as

Other providers in Pineville, LA

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

Sources for this page

Verify at the official NPI Registry.