Organization · Type 2 NPI

Council for Advancement of Social Service and Education

Federally Qualified Health Center (FQHC) · Stonewall, LA

NPI number 1104340686 Active

Practice location

149 Stonecreek Dr.
Stonewall, LA 71078-4906

Call (318) 688-3350 Map

Fax (318) 688-3655

Mailing address

2120 Bert Kouns Industrial Loop Ste A
Shreveport, LA 71118-3351

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Council for Advancement of Social Service and EducationFederally Qualified Health Center (FQHC) Stonewall, LA NPI 1912428244

Other federally qualified health center (fqhc) providers in Stonewall

Council for Advancement of Social Service and EducationFederally Qualified Health Center (FQHC) Stonewall, LA NPI 1912428244

See all in Stonewall →

NPI record

NPI: 1104340686
Entity type: Organization (Type 2)
Issued: Jul 27, 2017
Last updated: Nov 27, 2017
Status: Active
Subpart: Yes of Council for Advancement of Social Service and Education

Other names

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Casse Community Health - Stonewall · doing business as

Authorized official

Mr. Jeff Moody
C.o.o.
(318) 688-3350

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About NPI 1104340686

Council for Advancement of Social Service and Education's National Provider Identifier is 1104340686, issued on Jul 27, 2017. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Stonewall, LA. The record was last updated on Nov 27, 2017.