Organization · Type 2 NPI
Primary Care Providers for A Healthy Feliciana, Inc.
Federally Qualified Health Center (FQHC) · Jackson, LA
NPI number
1437258043
Active
Practice location
3619 Highway 10
Jackson, LA 70748
Fax (225) 634-0005
Mailing address
P.o. Box 395
Clinton, LA 70722-0395
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
2 other providers at this address
About NPI 1437258043
Primary Care Providers for A Healthy Feliciana, Inc.'s National Provider Identifier is 1437258043, issued on Sep 21, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Jackson, LA. The record was last updated on Apr 12, 2022.