Organization · Type 2 NPI
East Jefferson Community Health Center
Federally Qualified Health Center (FQHC) · River Ridge, LA
NPI number
1174664510
Active
Practice location
11312 Jefferson Hwy
River Ridge, LA 70123-1709
Fax (504) 466-3440
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 80-001271 (LA) |
Federally Qualified Health Center (FQHC): Definition to come...
4 other providers at this address
- Keith William Blackman, MDPublic Health & General Preventive Medicine Physician River Ridge, LA NPI 1477532885
- Maritza Elizabeth Salgado, DNP, APRN, FNPFamily Nurse Practitioner River Ridge, LA NPI 1902884158
- Phyllis Renee Jackson-Williams, DDSGeneral Practice Dentistry River Ridge, LA NPI 1912050832
- Renetta Walters Allen, NPFamily Nurse Practitioner River Ridge, LA NPI 1366427460
About NPI 1174664510
East Jefferson Community Health Center's National Provider Identifier is 1174664510, issued on Feb 9, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in River Ridge, LA. The record was last updated on Aug 22, 2020.