Access Health Louisiana
Organization Active NPI Federally Qualified Health Center (FQHC) · Marrero, LA
NPI 1831729631 · NPPES record last updated Jul 25, 2023
Key facts
- NPI
- 1831729631
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- ACCESS HEALTH LOUISIANA
- Practice address
- 2590 Barataria Blvd
Marrero, LA 70072-5304 - Phone
- (866) 530-6111
- NPI assigned
- Jan 21, 2020
- Organization subpart
- No
Authorized official
- Name
- Mark Keiser
- Title
- Ceo
- Phone
- (504) 575-3700
Corporate family (same tax ID) 16
Practitioners 4
-
Kathryn Moffett, LCSW
-
Leyton H. Orillion, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Federally qualified health center certification: CCN 191033
- Legal name
- ACCESS HEALTH LOUISIANA
- Doing business as
- FISHER MIDDLE HIGH SBHC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jun 24, 2020
- Last certification
- Jun 24, 2020
- Ownership / control type
- For profit – corporation
- Organization structure
- Other · Non-profit
- Incorporated
- Apr 1, 2003 in LA
- Enrollment address
- 2590 Barataria Blvd
Marrero, LA 70072-5304
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Peter Torsch |
Corporate Director | Mar 25, 2016 | |
| Germaine L Robottom |
Corporate Officer | Apr 23, 2016 | |
| Estelle Alfortish |
Corporate Officer | Feb 23, 2017 | |
| Gaynell Alexander-Coleman |
Corporate Officer | Jan 1, 2006 | |
| Brooks Trotter |
Corporate Officer | Apr 1, 2003 | |
| Jesse Babin |
Corporate Director |
Apr 23, 2023 | |
| Mark Francis Keiser |
Corporate Director | Apr 1, 2003 | |
| Sandra Zimmer |
Corporate Officer | Oct 25, 2018 | |
| Billy Raymond |
Corporate Director |
Apr 24, 2025 | |
| John Cressend Schonberg |
Corporate Officer | Apr 1, 2003 | |
| James G Comeaux |
W-2 Managing Employee | Jan 1, 2006 | |
| Timothy J. Vial |
Corporate Officer | Apr 1, 2003 |
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| St James Alternative School SBHC |
Federally qualified health center | Operational/Managerial Control | Apr 1, 2003 |
| Kenner Community Health Center |
Federally qualified health center | Operational/Managerial Control | Apr 1, 2003 |
| Luling Elementary School SBHC |
Federally qualified health center | Operational/Managerial Control | Apr 1, 2003 |
| Destrehan HS SBHC |
Federally qualified health center | Operational/Managerial Control | Apr 1, 2003 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200625003338 | LA | Part a Provider - Federally Qualified Health Center (FQHC) | 3678484276 | Practice locations: Marrero, LA |
National Provider Directory
- Tax ID family
- Access Health Lousisana
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
2590 Barataria Blvd
Marrero, LA 70072-5304
Mailing address
2900 Indiana Ave
Kenner, LA 70065-4605
Phone (504) 575-3712
Other names
- Fisher Middle High SBHC
Other providers in Marrero, LA
- Bilanta Anne Aaron
- Alaa Abdelrahman
- Access Health Louisiana
- Access Health Louisiana
- Access Health Louisiana
- Accu-Med Pharmacy II LLC
- Acidom Consulting Group
- Tamer Acikalin
- Susannah Dixon Acks
- Scott J. Acosta
All providers in Marrero, LA · Federally Qualified Health Center (FQHC) in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.