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Contact Information

SOUTHEAST COMMUNITY HEALTH SYSTEMS
721 AVENUE G
KENTWOOD, LA70444-2601
 Phone: 985-229-5507
 Fax: 985-229-6828
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for SOUTHEAST COMMUNITY HEALTH SYSTEMS

NPI Number 1558515676
LBN Legal business name SOUTHEAST COMMUNITY HEALTH SYSTEMS
Authorized official ALECIA CYPRIAN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/17/2008
Last updated 11/25/2014 - About 12 years ago
Identifiers
LA Medicaid 1806935
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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