NPIMap

Organization Active NPI

Tensas Community Health Center Inc

  • Clinic/Center
  • Saint Joseph, LA
National Provider Identifier
1720054075
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TENSAS COMMUNITY HEALTH CENTER INC
Practice address
402 Levee Rd
Saint Joseph, LA 71366-6661
Phone
(318) 766-1967
Fax
(318) 766-9090
NPI assigned
Feb 27, 2006
Reactivated
Dec 12, 2018
Last updated
Sep 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Mrs. Jacqueline Schauf
Title
Executive Director
Phone
(318) 766-1967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X LA Primary

Addresses

Primary practice location

402 Levee Rd
Saint Joseph, LA 71366-6661

Mailing address

402 Levee Rd
Saint Joseph, LA 71366-6661
Phone (318) 766-1967

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060720000166 LA Part A Provider - Federally Qualified Health Center (FQHC) 4385657139 Practice locations: Saint Joseph, LA
O20100301000042 LA Part B Supplier - Clinic/Group Practice 4385657139 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
Practice locations: St Joseph, LA; Vidalia, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720054075. Details of each certification follow.

Federally qualified health center certification: CCN 191850

Legal name
TENSAS COMMUNITY HEALTH CENTER INC
Doing business as
N/A
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 29, 2006
Last certification
Aug 29, 2006
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 22, 2003 in LA
Enrollment address
1115 Levee Rd
Saint Joseph, LA 71366-6639

Other NPIs on the same Medicare enrollment 1

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

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
19D1053011Tensas Community Health Center402 Levee Street, St Joseph, LA 71366Certificate of waiverMay 30, 2028

National Provider Directory

National Provider Directory

Locations

1115 Levee Rd
Saint Joseph, LA 71366
Phone (318) 766-1967

402 Levee Rd
Saint Joseph, LA 71366
Phone (318) 766-1967

1154 Logan Sewell Dr
Vidalia, LA 71373
Phone (318) 336-8166

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Yvonne Mosses Individual Corporate OfficerBoard Member Apr 3, 2006
Clarissa Newman Individual Corporate OfficerBoard Member Apr 3, 2006
Jackie Schauf Individual Corporate OfficerCeo Sep 16, 2006
Corporate DirectorCeo Sep 16, 2006
Dawn Johnson Individual Operational/Managerial Control Apr 9, 2012

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 12

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": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1720054075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 LEVEE RD",
            "city": "SAINT JOSEPH",
            "state": "LA",
            "postal_code": "713666661",
            "telephone_number": "318-766-1967",
            "fax_number": "318-766-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 LEVEE RD",
            "city": "SAINT JOSEPH",
            "state": "LA",
            "postal_code": "713666661",
            "telephone_number": "318-766-1967",
            "fax_number": "318-766-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENSAS COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "deactivation_date": "2018-08-23",
        "reactivation_date": "2018-12-12",
        "status": "A",
        "authorized_official_last_name": "SCHAUF",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "318-766-1967",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, LA

Sources for this page

Verify at the official NPI Registry.