Access Health Louisiana

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

ACCESS HEALTH LOUISIANA

Doing business as

St Charles CHC - 1057 Paul Maillard

Practice address

1057 Paul Maillard Rd
Suite 240
Luling, LA 70070-4349

Phone

(985) 785-2045

Fax

(504) 575-3691

NPI assigned

Jul 31, 2014

Last updated

Aug 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Keiser

Title

President

Phone

(504) 575-3700

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• St Charles CHC - 1057 Paul Maillard Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Access Health Louisiana

  dba St Charles Community Health Center, Luling

  • Federally Qualified Health Center (FQHC)
  • Kenner, LA
  • NPI 1417999327

  O20031217000057

  Same enrollment
• Access Health Louisiana

  dba St Tammany Community Health Center Covington

  • Federally Qualified Health Center (FQHC)
  • Covington, LA
  • NPI 1720321169

  O20031217000057

  Same enrollment

Practitioners 2

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.

• Jonathan Nicholas Chandler, PSYD, MP

  • Prescribing (Medical) Psychologist
  • New Orleans, LA
  • NPI 1558647891
  NPD
• Sudha Mardia, M.D.

  • Family Medicine Physician
  • Luling, LA
  • NPI 1467445213
  NPD

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1902214133",
    "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",
            "fax_number": "504-575-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 PAUL MAILLARD RD",
            "address_2": "SUITE 240",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704349",
            "telephone_number": "985-785-2045",
            "fax_number": "504-575-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS HEALTH LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "KEISER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "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
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "MD.04201R",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "MD.03945R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2384457",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Charles CHC - 1057 Paul Maillard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• A Peace of Mind II, LLC
• A Peace of Mind II, LLC
• Mahmoud Abdallah-Hijaz
• Access Health Louisiana (Access Health Louisiana Pharmacy)
• Access Health Louisiana (St Charles Community Health Center, Destrehan)
• Access Health Louisiana (Luling Elementary School SBHC)
• Laurie Acosta, RD,LDN,CDE
• Winter Adams
• Tlaloc S Alferez, MD
• Myra Louise Anderson, M.D.

• Federally Qualified Health Center (FQHC) in Luling, LA
• Providers in Luling, LA by specialty
• Federally Qualified Health Center (FQHC) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.