Organization · Type 2 NPI
Southeast Community Health Systems
Federally Qualified Health Center (FQHC) · Kentwood, LA
NPI number
1912458639
Active
Practice location
72961 Highway 1061
Kentwood, LA 70444-5833
Fax (225) 658-1282
Mailing address
PO Box 770
Zachary, LA 70791-0770
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 1912458639
Southeast Community Health Systems's National Provider Identifier is 1912458639, 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.