Organization · Type 2 NPI

Southeast Community Health Systems

Federally Qualified Health Center (FQHC) · Kentwood, LA

NPI number 1487105102 Active

Practice location

15649 Highway 440
Kentwood, LA 70444-6939

Call (225) 306-2000 Map

Fax (225) 658-1282

Mailing address

PO Box 770
Zachary, LA 70791-0770

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1487105102

Southeast Community Health Systems's National Provider Identifier is 1487105102, issued on Oct 18, 2016. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Kentwood, LA. The record was last updated on Oct 18, 2016.