Organization · Type 2 NPI
Primary Care Providers for A Healthy Feliciana Inc
Federally Qualified Health Center (FQHC) · Hammond, LA
NPI number
1104704576
Active
Practice location
2600 Pfc Matthew E Wildes St
Hammond, LA 70403
Fax (225) 683-1310
Mailing address
PO Box 395
Clinton, LA 70722-0395
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1104704576
Primary Care Providers for A Healthy Feliciana Inc's National Provider Identifier is 1104704576, issued on Aug 25, 2025. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Hammond, LA. The record was last updated on Aug 25, 2025.