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Access Health Louisiana

Organization Active NPI Federally Qualified Health Center (FQHC) · New Orleans, LA

NPI 1891199766 · NPPES record last updated Sep 13, 2016

Key facts

NPI
1891199766
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
ACCESS HEALTH LOUISIANA
Practice address
3300 S. Broad St.
New Orleans, LA 70125-2942
Phone
(504) 309-5061
Fax
(504) 575-3691
NPI assigned
Oct 21, 2014
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 14

Organizations that report the same tax identification number in the National Provider Directory.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Federally qualified health center certification: CCN 191939

Legal name
ACCESS HEALTH LOUISIANA
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 4, 2015
Last certification
Jun 4, 2015
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
Mar 15, 2002 in LA
Enrollment address
3300 South Broad Street
New Orleans, LA 70119-2942

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 Director Nov 20, 2015
Germaine L Robottom
Individual 		Corporate Officer Apr 23, 2016
Estelle Alfortish
Individual 		Corporate Officer Apr 23, 2018
Gaynell Alexander-Coleman
Individual 		Corporate Officer Mar 1, 2003
Brooks Trotter
Individual 		Corporate Officer Feb 24, 2011
Scott Falgoust
Individual 		Corporate Officer May 31, 2018
Mark Francis Keiser
Individual 		Corporate Director Mar 1, 2003
W-2 Managing Employee Mar 1, 2003
Sandra Zimmer
Individual 		Corporate Officer Oct 25, 2018
John Cressend Schonberg
Individual 		Corporate Officer Apr 23, 2009
Timothy J. Vial
Individual 		Corporate Director Apr 23, 2010
Wendy Benedeto
Individual 		Corporate Officer Apr 23, 2022

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 SBHC
Vacherie, LA · CCN 191087		 Federally qualified health center Operational/Managerial Control Apr 1, 2003
Kenner Community Health Center
Kenner, LA · CCN 191096		 Federally qualified health center Operational/Managerial Control Apr 1, 2003
Luling Elementary School SBHC
Luling, LA · CCN 191100		 Federally qualified health center Operational/Managerial Control Apr 1, 2003
Destrehan HS SBHC
Destrehan, LA · CCN 191104		 Federally qualified health center Operational/Managerial Control Apr 1, 2003

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20150605000644 LA Part a Provider - Federally Qualified Health Center (FQHC) 3678484276 Practice locations: New Orleans, LA

National Provider Directory

Tax ID family
Access Health Lousisana (89 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP		 103TF0000X DO.000157 LA
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X MD.023712 LA
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

3300 S. Broad St.
New Orleans, LA 70125-2942

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
2380605MedicaidLA

Other names

  • South Broad Community Health Doing business as

Other providers in New Orleans, LA

All providers in New Orleans, LA · Federally Qualified Health Center (FQHC) in Louisiana

Sources for this page

Verify at the official NPI Registry.