Jefferson Community Health Care Centers Inc | |
4028 Highway 90 W Avondale LA 70094-2622 | |
(504) 436-2223 | |
(504) 436-2224 |
Full Name | Jefferson Community Health Care Centers Inc |
---|---|
Speciality | General Practice |
Location | 4028 Highway 90 W, Avondale, Louisiana |
Authorized Official Name and Position | Stacey Marie Lovell (BILLING OFFICE/CREDENTIALING) |
Authorized Official Contact | 5044362223 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jefferson Community Health Care Centers Inc 4028 Highway 90 W Avondale LA 70094-2622 Ph: (504) 436-2223 | Jefferson Community Health Care Centers Inc 4028 Highway 90 W Avondale LA 70094-2622 Ph: (504) 436-2223 |
NPI Number | 1124000773 |
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Provider Enumeration Date | 11/18/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124000773 | NPI | - | NPPES |
1447196 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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› Verified 9 days ago
Access Health Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 178 Millie Dr, Avondale, LA 70094 Phone: 866-530-6111 | |
Inclusivcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3932 Highway 90 W, Avondale, LA 70094 Phone: 504-436-2223 Fax: 504-436-2224 |