SOUTHEAST COMMUNITY HEALTH SYSTEMS (NPI# 1053749739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053749739 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST COMMUNITY HEALTH SYSTEMS |
| Practice Address |
336 East Railroad Avenue Independence LA 70443 |
| Mailing Address |
Po Box 770 Zachary LA 70791-0770 |
| Practice Telephone | 8884147247 |
| Mailing Telephone | 8884147247 |
| Mailing Fax Number | 2256581282 |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2020-06-22 |
| Authorized Official Name | DR. ALECIA CYPRIAN (CEO) |
| Authorized Official Telephone | 2253062000 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2368567 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376062513 | Southeast Community Health Systems | Clinic/Center | 43052 Yokum Rd, Hammond, LA 70403-6351 | 2017-09-19 |
| 1194277806 | Southeast Community Health Systems | Clinic/Center | 501 Erwin Neil Way Hammond, Hammond, LA 70403 | 2016-10-28 |
| 1487105102 | Southeast Community Health Systems | Clinic/Center | 15649 Highway 440, Kentwood, LA 70444-6939 | 2016-10-18 |
| 1558812255 | Southeast Community Health Systems | Clinic/Center | 15841 Highway 440, Kentwood, LA 70444-6937 | 2016-10-18 |
| 1467903187 | Southeast Community Health Systems | Clinic/Center | 68495 Highway 1054, Kentwood, LA 70444-6911 | 2016-10-18 |
| 1912458639 | Southeast Community Health Systems | Clinic/Center | 72961 Highway 1061, Kentwood, LA 70444-5833 | 2016-10-18 |
| 1013468909 | Southeast Community Health Systems | Clinic/Center | 603 9th St, Kentwood, LA 70444-2317 | 2016-10-17 |
| 1306397328 | Southeast Community Health Systems | Clinic/Center | 1459 Service Rd, Kentwood, LA 70444-3013 | 2016-10-14 |
| 1649628397 | Southeast Community Health Systems | Clinic/Center | 77 Greensburg Street, Greensburg, LA 70441 | 2016-06-02 |
| 1053769794 | Southeast Community Health Systems | Clinic/Center | 25753 Walker Road South, Denham Springs, LA 70726 | 2016-06-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHEAST COMMUNITY HEALTH SYSTEMS | 6351 Main St, Zachary, LA 70791-4038 |
| Street Address |
336 EAST RAILROAD AVENUE |
| City | INDEPENDENCE |
| State | LA |
| Zip Code | 70443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336696830 | Nicole Blanchard Chapel | Counselor | 5001 Hwy 190, East Service Rd, Suite C6, Mandeville, LA 70443 | 2016-09-01 |
| 1043668783 | Southeast Community Health Systems | Clinic/Center | 55420 N. Railroad Avenue, Independence, LA 70443 | 2016-06-02 |
| 1144614645 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 515 3rd Street, Independence, LA 70443 | 2015-03-23 |
| 1063842912 | Moritha Johnson | Licensed Practical Nurse | 14175 Rev. J. White Rd, Independence, LA 70443 | 2013-11-13 |
| 1689931370 | Casey L Hastings | Emergency Medicine | 52579 Us State Route 51, Lallie Kemp, Independence, LA 70443 | 2012-04-18 |
| 1326345414 | Alfaa House Community Center | Psychiatric Hospital | 306 W 4th Street, Independence, LA 70443 | 2011-02-25 |
| 1609177864 | Charles R Genovese Jr Md Inc | Specialist | 312 E Rail Road Ave, Independence, LA 70443 | 2010-11-04 |
| 1437300233 | L A Homecare 1 Inc | In Home Supportive Care | 146 Hwy 40, C, Independence, LA 70443 | 2008-10-10 |
| 1770758120 | Ila Jean Cascio | Speech-Language Pathologist | 51642 Hwy 1065, Independence, LA 70443 | 2008-04-28 |
| 1710150446 | Northlake Supports and Services Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 27683 Ivy Springs Drive, Independence, LA 70443 | 2008-04-02 |
| Find all providers in zip 70443 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043668783 | Southeast Community Health Systems | Clinic/Center | 55420 N. Railroad Avenue, Independence, LA 70443 | 2016-06-02 |
| 1083914105 | Swope Health Services | Clinic/Center | 17844 East 23rd Street, Independence, MO 64057-1840 | 2010-10-22 |
| 1477648327 | Swope Health Services | Clinic/Center | 11320 E Truman Rd, Independence, MO 64050-2564 | 2006-10-04 |
| 1184615726 | Multipractice Clinic | Clinic/Center | 281 W 4th St, Independence, LA 70443-2386 | 2005-11-02 |
| 1801208053 | Community Health Center of Southeast Kansas, Inc | Clinic/Center | 3751 W Main St, Independence, KS 67301-8446 | 2014-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073120614 | Marillac Community Health Centers | Clinic/Center | 721 Saint Philip St, New Orleans, LA 70116-2713 | 2020-09-28 |
| 1699382697 | Start Corporation | Clinic/Center | 106 School Street, Houma, LA 70360 | 2020-09-24 |
| 1801402433 | Hiv/aids Alliance for Region Two, Inc. | Clinic/Center | 30789 N Range Avenue, Denham Springs, LA 70726 | 2020-09-18 |
| 1184239642 | Access Health Louisiana | Clinic/Center | 1400 Huey P Long Ave, Gretna, LA 70053-6436 | 2020-09-11 |
| 1770198681 | Marillac Community Health Centers | Clinic/Center | 4000 Cadillac St, New Orleans, LA 70122-1117 | 2020-09-09 |
| 1528673308 | Marillac Community Health Centers | Clinic/Center | 5800 Saint Roch Ave, New Orleans, LA 70122-5336 | 2020-09-09 |
| 1013522879 | Marillac Community Health Centers | Clinic/Center | 1423 Saint Philip St, New Orleans, LA 70116-2933 | 2020-09-09 |
| 1669086690 | Marillac Community Health Centers | Clinic/Center | 1908 Short St, Kenner, LA 70062-7550 | 2020-09-08 |
| 1023629425 | Winn Community Health Center, Inc. | Clinic/Center | 2200 N Bolton Ave, Alexandria, LA 71303-4407 | 2020-08-11 |
| 1467061515 | Council for Advancement of Social Service and Education | Clinic/Center | 1560 Irving Place, Shreveport, LA 71101-4604 | 2020-07-24 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 70443 |
Please comment or provide details below to improve the information on SOUTHEAST COMMUNITY HEALTH SYSTEMS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.