NPIMap

Organization Active NPI

Access Health Louisiana

  • Federally Qualified Health Center (FQHC)
  • Slidell, LA
National Provider Identifier
1487898946
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ACCESS HEALTH LOUISIANA
Practice address
501 Robert Blvd
Slidell, LA 70458-1667
Phone
(985) 607-0400
Fax
(504) 575-3691
NPI assigned
Apr 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Authorized official

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X LA
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X LA
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LA
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X LA
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X LA
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

501 Robert Blvd
Slidell, LA 70458-1667

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1925349MedicaidLA

Other names 1

  • St Tammany Community Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090527000427 LA Part A Provider - Federally Qualified Health Center (FQHC) 3678484276 Practice locations: Slidell, LA
O20090804000315 LA Part B Supplier - Clinic/Group Practice 3678484276 Receives reassigned benefits from 10 practitioners
Practice locations: Bogalusa, LA; Slidell, LA; New Orleans, LA; Hammond, LA

Federally qualified health center certification: CCN 191866

Legal name
ACCESS HEALTH LOUISIANA
Doing business as
ST TAMMANY CHC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 3, 2009
Last certification
Jun 3, 2009
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 3, 2003 in LA
Enrollment address
501 Robert Blvd
Slidell, LA 70458-1667

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D1098895St Tammany Community Health Center501 Robert Boulevard, Slidell, LA 70458Provider-performed microscopyApr 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Access Health Lousisana89 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 12

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 Apr 1, 2017
Germaine L Robottom Individual Corporate Director Apr 3, 2003
Estelle Alfortish Individual Corporate Director Apr 23, 2018
Gaynell Alexander-Coleman Individual Corporate Director Mar 1, 2009
Brooks Trotter Individual Corporate Director Jan 1, 2011
Scott Falgoust Individual Corporate Director May 31, 2018
Mark Francis Keiser Individual Corporate Director Feb 26, 2002
Sandra Zimmer Individual Corporate Director Oct 25, 2018
Francesca Vial Individual Corporate Director Mar 1, 2009
John Cressend Schonberg Individual Corporate Director Mar 1, 2009
James G Comeaux Individual W-2 Managing Employee Mar 1, 2009
Timothy J. Vial Individual Corporate Director Mar 1, 2009

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 SBHCVacherie, LA, CCN 191087 Federally qualified health center Operational/Managerial Control Apr 1, 2003
Kenner Community Health CenterKenner, LA, CCN 191096 Federally qualified health center Operational/Managerial Control Apr 1, 2003
Luling Elementary School SBHCLuling, LA, CCN 191100 Federally qualified health center Operational/Managerial Control Apr 1, 2003
Destrehan HS SBHCDestrehan, LA, CCN 191104 Federally qualified health center Operational/Managerial Control Apr 1, 2003

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1487898946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 INDIANA AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700654605",
            "telephone_number": "504-575-3712",
            "fax_number": "504-575-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ROBERT BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581667",
            "telephone_number": "985-607-0400",
            "fax_number": "504-575-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS HEALTH LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "KEISER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-575-3700"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1925349",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Tammany Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.