NPIMap

Organization Active NPI

Access Health Louisiana

  • Federally Qualified Health Center (FQHC)
  • Dry Prong, LA
National Provider Identifier
1669367207
Registry record updated Jun 12, 2025
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
1000 Highway 1241
Dry Prong, LA 71423-3632
Phone
(866) 530-6111
NPI assigned
Jun 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Mark F Keiser
Title
Ceo
Phone
(504) 575-3700

Specialties & licenses 1

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

Addresses

Primary practice location

1000 Highway 1241
Dry Prong, LA 71423-3632

Mailing address

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

Other names 1

  • South Grant Elementary SBHC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251219001157 LA Part A Provider - Federally Qualified Health Center (FQHC) 3678484276 Practice locations: Dry Prong, LA

Federally qualified health center certification: CCN 951024

Legal name
ACCESS HEALTH LOUISIANA
Doing business as
SOUTH GRANT ELEMENTARY SBHC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 16, 2025
Last certification
Oct 16, 2025
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Enrollment address
1000 Highway 1241
Dry Prong, LA 71423-3632

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 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 DirectorCfo Mar 25, 2016
Germaine L Robottom Individual Corporate DirectorBoard Member Apr 23, 2015
Estelle Alfortish Individual Corporate OfficerBoard Member Jun 23, 2017
Gaynell Alexander-Coleman Individual Corporate DirectorBoard Member Apr 1, 2003
Brooks Trotter Individual Corporate DirectorBoard Member Apr 1, 2003
Jesse Babin Individual Corporate DirectorBoard Member Apr 23, 2023
Mark Francis Keiser Individual Corporate OfficerCeo Apr 1, 2003
W-2 Managing EmployeeCeo Apr 1, 2003
Sandra Zimmer Individual Corporate DirectorBoard Member Oct 25, 2018
Billy Raymond Individual Corporate DirectorBoard Member Apr 24, 2025
John Cressend Schonberg Individual Corporate DirectorSecretary of the Board Apr 1, 2003
Timothy J. Vial Individual Corporate DirectorChairman of the Board Apr 1, 2003

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

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1669367207",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGHWAY 1241",
            "city": "DRY PRONG",
            "state": "LA",
            "postal_code": "714233632",
            "telephone_number": "866-530-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS HEALTH LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "KEISER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-575-3700"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Grant Elementary SBHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dry Prong, LA

Sources for this page

Verify at the official NPI Registry.