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
1457004186
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
1735 Thomas H Delpit Dr
Baton Rouge, LA 70802-6633
Phone
(225) 655-6422
NPI assigned
Feb 2, 2022
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
Chief Executive Officer
Phone
(225) 424-1800

Specialties & licenses 1

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

Addresses

Primary practice location

1735 Thomas H Delpit Dr
Baton Rouge, LA 70802-6633

Mailing address

9516 Airline Hwy
Baton Rouge, LA 70815-5501
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

Locations

4550 North Blvd
Baton Rouge, LA 70806
Phone (225) 424-1743

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1457004186",
    "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": "1735 THOMAS H DELPIT DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708026633",
            "telephone_number": "225-655-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIV-AIDS ALLIANCE FOR REGION TWO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "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": "CHIEF EXECUTIVE OFFICER",
        "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"
        },
        {
            "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.