Organization Active NPI

Primary Care Providers for a Healthy Feliciana Inc

Doing business as Hammond Eastside Upper

  • Federally Qualified Health Center (FQHC)
  • Hammond, LA
National Provider Identifier
1881571305
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA INC
Doing business as
Hammond Eastside Upper
Practice address
43052 Yokum Rd
Hammond, LA 70403-6351
Phone
(225) 683-5292
Fax
(225) 683-1310
NPI assigned
Aug 18, 2025
Last updated
Aug 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Christi C Hunt
Title
Ceo
Phone
(225) 683-5292

Specialties & licenses 1

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

Addresses

Primary practice location

43052 Yokum Rd
Hammond, LA 70403-6351

Mailing address

PO Box 395
Clinton, LA 70722-0395
Phone (225) 683-5292

Other names 1

  • Hammond Eastside Upper Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260506000095 LA Part A Provider - Federally Qualified Health Center (FQHC) 1052220985 Practice locations: Hammond, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881571305. Details of each certification follow.

Federally qualified health center certification: CCN 951802

Legal name
PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC
Doing business as
RKM AT HAMMOND EASTSIDE UPPER ELEMENTARY
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 25, 2026
Last certification
Mar 25, 2026
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
403052 Yokum Rd
BLDG 200 RKM
Hammond, LA 70403

National Provider Directory

National Provider Directory
Tax ID family
Primary Care Providers for a Healthy Feliciana Inc72 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

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

View all 22

Locations

43052 Yokum Rd
Hammond, LA 70403
Phone (225) 306-2050

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Richard C Holton Individual OtherBoard Member Oct 25, 2007
Neil M Manuel Individual Corporate OfficerCoo Mar 28, 2022 100%
Alfreda D Jackson Individual OtherBoard Member Sep 29, 2009
Darie S Gilliam Individual Corporate OfficerCco May 1, 2005 100%
Kenny Sanders Individual OtherBoard Member Sep 22, 2011
Matthew King Individual Corporate OfficerCfo Feb 25, 2025
Christy Bond Individual OtherRevenue System Manager Aug 28, 2023
Christi C Hunt Individual Corporate OfficerCeo Oct 20, 2020 100%
W-2 Managing Employee Oct 20, 2020 100%
Virdie Moeller Individual OtherBoard Member Mar 28, 2013
Nicole C Wilcher Individual OtherBoard Member Mar 28, 2013
Wayne Birt Individual OtherBoard Member Aug 31, 2020
Columbus Hutchinson Individual OtherBoard Member Mar 29, 2018
Anita P Cambre Individual OtherBoard Member Oct 25, 2007
Mark Kemp Individual OtherBoard Member Mar 28, 2013
Shunda Spurlock-Haile Individual OtherBoard Member Jul 25, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1881571305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 395",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "707220395",
            "telephone_number": "225-683-5292",
            "fax_number": "225-683-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43052 YOKUM RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704036351",
            "telephone_number": "225-683-5292",
            "fax_number": "225-683-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "CHRISTI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-683-5292"
    },
    "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": "Hammond Eastside Upper",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.