NPI 1891199766 · live from the CMS NPI Registry
Access Health Louisiana
Clinic/Center, Federally Qualified Health Center (FQHC) in New Orleans, LA. National Provider Identifier 1891199766, active.
NPI record
| NPI | 1891199766 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Federally Qualified Health Center (FQHC) 261QF0400X |
| Practice location | 3300 S. Broad St., New Orleans, LA 70125 |
| Practice phone | 504-309-5061 |
| Mailing address | 2900 Indiana Ave, Kenner, LA 70065 |
| Enumerated | October 21, 2014 |
| Last updated | September 13, 2016 |
| Authorized official | Mark Keiser, President |
| Other names | South Broad Community Health |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Family | 103TF0000X | DO.000157 (LA) |
| Family Medicine | 207Q00000X | MD.023712 (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.