NPI 1013239508 · live from the CMS NPI Registry
Access Health Louisiana
Clinic/Center, Federally Qualified Health Center (FQHC) in Saint Rose, LA. National Provider Identifier 1013239508, active.
NPI record
| NPI | 1013239508 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Federally Qualified Health Center (FQHC) 261QF0400X |
| Practice location | 232 Pirate Drive, Saint Rose, LA 70087 |
| Practice phone | 985-308-6101 |
| Mailing address | 2900 Indiana Ave, Kenner, LA 70065 |
| Enumerated | February 24, 2010 |
| Last updated | August 5, 2016 |
| Authorized official | Mark Keiser, President |
| Other names | Albert Cammon Wellness Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — (LA) |
| Family Medicine, Adult Medicine | 207QA0505X | — (LA) |
| Pediatrics | 208000000X | — (LA) |
| Clinic/Center, Federally Qualified Health Center (FQHC) primary | 261QF0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.