Organization · Type 2 NPI
Start Corporation
Federally Qualified Health Center (FQHC) · Mandeville, LA
NPI number
1346712957
Active
Practice location
2150 General Pershing St
Mandeville, LA 70448-5125
Fax (985) 851-0162
Mailing address
PO Box 165
Houma, LA 70361-0165
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
7 other providers at this address
- Darnell MaddoxSocial Worker Mandeville, LA NPI 1497126916
- Kimberly A. May, APRN-CNPFamily Nurse Practitioner Mandeville, LA NPI 1396492757
- Marlee N. MaliskasCase Manager/Care Coordinator Mandeville, LA NPI 1265275085
- Michelle L. LudwigsenSocial Worker Mandeville, LA NPI 1568838001
- Pamella B. DivinityCase Manager/Care Coordinator Mandeville, LA NPI 1356891246
- Shana Ruberstein, LMSWSocial Worker Mandeville, LA NPI 1881143717
- Victoria Angel Dupre, CSWSocial Worker Mandeville, LA NPI 1720517675
Other federally qualified health center (fqhc) providers in Mandeville
About NPI 1346712957
Start Corporation's National Provider Identifier is 1346712957, issued on Dec 20, 2018. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Mandeville, LA. The record was last updated on Mar 8, 2023.