Access Health Louisiana

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

ACCESS HEALTH LOUISIANA

Doing business as

St Charles Community Health Center, Kenner

Practice address

200 W Esplanade Ave
Kenner, LA 70065-2489

Phone

(504) 712-7800

Fax

(504) 575-3691

NPI assigned

Sep 14, 2006

Last updated

Aug 5, 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 9

Addresses

Other names 1

• St Charles Community Health Center, Kenner Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992800718. Details of each certification follow.

• CCN 191851 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 191851

Legal name

ST CHARLES COMMUNITY CENTER INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

May 3, 2007

Last certification

May 3, 2007

Ownership / control type

For profit – corporation

Facility address

200 West Esplanade Avenue - Suite 310 & 314
Kenner, LA 70065

Other NPIs on the same Medicare enrollment 3

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

• Access Health Louisiana

  dba Ruth U Fertel/Tulane Community Health Center

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1063759066

  O20070801000053

  Same enrollment
• Access Health Louisiana

  dba Access Health Louisiana at the Pythian

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1316443716

  O20070801000053

  Same enrollment
• Access Health Louisiana

  dba Belle Chasse Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Belle Chasse, LA
  • NPI 1619233814

  O20070801000053

  Same enrollment

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1992800718",
    "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": "200 W ESPLANADE AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652489",
            "telephone_number": "504-712-7800",
            "fax_number": "504-575-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS HEALTH LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2016-08-05",
        "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": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Charles Community Health Center, Kenner",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Access Health Louisiana (St Charles Community Health Center, Luling)
• Access Health Louisiana (Access Health Louisiana Pharmacy - Kenner)
• Access Health Louisiana (Kenner Community Health Center)
• Access Health Louisiana (Access Health Louisiana Kenner)
• Access Health Louisiana (St Charles CHC, Kenner GNOCHC)
• Advanced Medical Equipment, Inc.
• Mariam J Ahmed, M.D.
• Saeed Ahmed, M.D.
• Joseph Dylan Ajubita
• Aderonke F. Akingbola, M.D.

• Federally Qualified Health Center (FQHC) in Kenner, LA
• Providers in Kenner, 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 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.