Active NPI
Louisiana Community Health Center, Inc
Doing business as Our Community Health
- Adult Medicine Physician
- Gretna, LA
National Provider Identifier
1336776038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- LOUISIANA COMMUNITY HEALTH CENTER, INC
- Doing business as
- Our Community Health
- Practice address
- 91 Westbank Expy Ste 440
Gretna, LA 70053-3678 - Phone
- (504) 417-9316
- NPI assigned
- Mar 24, 2020
- Last updated
- Dec 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Wiliams
- Title
- Ceo
- Phone
- (504) 584-0301
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Licensed Practical Nurse | 164W00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Adult Medicine Physician | 207QA0505X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Clinical & Laboratory Immunology (Internal Medicine) Physician | 207RI0001X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Pediatrics Physician | 208000000X | |||
| Diagnostic Ultrasound Physician | 2085U0001X | |||
| Mammography Clinic/Center | 261QR0206X | |||
| Nurse Practitioner | 363L00000X | |||
| Women's Health Nurse Practitioner | 363LW0102X |
Addresses
Primary practice location
91 Westbank Expy Ste 440
Gretna, LA 70053-3678
Mailing address
PO Box 2065
Gretna, LA 70054-2065
Phone (504) 584-0301
Other names 1
- Our Community Health
National Provider Directory
National Provider DirectoryLocations
91 Westbank Expy
Gretna, LA 70053
Phone (504) 584-0300
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Gretna, LA
- NPI 1568166932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609286400000",
"number": "1336776038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2065",
"city": "GRETNA",
"state": "LA",
"postal_code": "700542065",
"telephone_number": "504-584-0301",
"fax_number": "504-688-3301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 WESTBANK EXPY STE 440",
"city": "GRETNA",
"state": "LA",
"postal_code": "700533678",
"telephone_number": "504-417-9316"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOUISIANA COMMUNITY HEALTH CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-24",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A",
"authorized_official_last_name": "WILIAMS",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "504-584-0301"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Clinical & Laboratory Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0206X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mammography",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Our Community Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gretna, LA
- Alberto M. Lopez, M.D.
- Shaun Michael Lopez, P.T.
- Elesha Loston
- Lotus Community Care, LLC (Tailored Care)
- Lotus Counseling and Assessment Service
- Louisiana Counseling & Training Consultants, LLC
- Louisiana Dental Professionals, Dr. Jamini Mwendo, D.D.S., a Professio (Bluebonnet Dental Care- Gretna)
- Louisiana Medical Foot Center Associates Inc
- Louisiana State University School of Medicine in New Orleans Faculty G (LSU Healthcare Network)
- Laura Early Loupe, M.S., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.