NPIMap

Organization Active NPI

HIV-AIDS Alliance for Region Two

Doing business as Open Health Care Clinic

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
National Provider Identifier
1437622743
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HIV-AIDS ALLIANCE FOR REGION TWO
Doing business as
Open Health Care Clinic
Practice address
2751 Wooddale Blvd Ste C
Baton Rouge, LA 70805-7567
Phone
(225) 655-6422
Fax
(225) 341-5903
NPI assigned
Jan 9, 2019
Last updated
Jun 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Tim Young
Title
Ceo
Phone
(225) 424-1800

Specialties & licenses 1

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

Addresses

Primary practice location

2751 Wooddale Blvd Ste C
Baton Rouge, LA 70805-7567

Mailing address

9516 Airline Hwy
Baton Rouge, LA 70815-5501
Phone (225) 655-6422

Other practice location 1

2751 Wooddale Blvd
Baton Rouge, LA 70805-7567
Phone (225) 655-6422

Other names 1

  • Open Health Care Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181101000702 LA Part B Supplier - Clinic/Group Practice 4880981158 Receives reassigned benefits from 38 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baton Rouge, LA; Eunice, LA; Denham Springs, LA

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2751 Wooddale Blvd
Baton Rouge, LA 70805
Phone (225) 925-1906

4550 North Blvd
#250
Baton Rouge, LA 70806
Phone (225) 927-1269

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1437622743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9516 AIRLINE HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708155501",
            "telephone_number": "225-655-6422",
            "fax_number": "225-341-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 WOODDALE BLVD STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708057567",
            "telephone_number": "225-655-6422",
            "fax_number": "225-341-5903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2751 Wooddale Blvd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708057567",
            "country_code": "US",
            "telephone_number": "225-655-6422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HIV-AIDS ALLIANCE FOR REGION TWO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-424-1800"
    },
    "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": "Open Health Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.