National Provider Identifier Database

JEFFERSON COMMUNITY HEALTH CARE CENTERS INC
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

JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC
4300 PATRIOT ST
MARRERO, LA70072-4305
Phone: 504-762-8909
Fax: 504-328-0899
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC

NPI Number 1447517032
Legal business name
LBN
JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC
Authorized official CYROUS ARDALAN - (INTERIM CEO)
Entity Organization
Organization subpart No
Enumeration date 04/19/2012
Last updated 04/19/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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