National Provider Identifier Database

EAST JEFFERSON COMMUNITY HEALTH CENTER
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

EAST JEFFERSON COMMUNITY HEALTH CENTER
11312 JEFFERSON HWY
RIVER RIDGE, LA70123-1709
Phone: 504-464-0032
Fax: 504-466-3440
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for EAST JEFFERSON COMMUNITY HEALTH CENTER

NPI Number 1174664510
Legal business name
LBN
EAST JEFFERSON COMMUNITY HEALTH CENTER
Authorized official PATRICIA BOWMAN - (CO-CHAIR)
Entity Organization
Organization subpart No
Enumeration date 02/09/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • LA License #: 80-001271
  • LA Medicaid: 1947652

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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