SOUTHEAST COMMUNITY HEALTH SYSTEMS (NPI# 1053769794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053769794 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST COMMUNITY HEALTH SYSTEMS |
| Practice Address |
25753 Walker Road South Denham Springs LA 70726 |
| Mailing Address |
Po Box 770 Zachary LA 70791-0770 |
| Practice Telephone | 2253062000 |
| Mailing Telephone | 2253062000 |
| Mailing Fax Number | 2256581282 |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |
| Authorized Official Name | DR. ALECIA CYPRIAN (CEO) |
| Authorized Official Telephone | 2253062000 |
| 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 |
| 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 |
| 1043668783 | Southeast Community Health Systems | Clinic/Center | 55420 N. Railroad Avenue, Independence, LA 70443 | 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 |
25753 WALKER ROAD SOUTH |
| City | DENHAM SPRINGS |
| State | LA |
| Zip Code | 70726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801402433 | Hiv/aids Alliance for Region Two, Inc. | Clinic/Center | 30789 N Range Avenue, Denham Springs, LA 70726 | 2020-09-18 |
| 1306456231 | Jinci Strahan | Registered Nurse | 24495 La-16, Denham Springs, LA 70726 | 2020-08-05 |
| 1568085058 | Bailey Brumley | Case Manager/Care Coordinator | 106 Business Park Ave, Denham Springs, LA 70726 | 2020-05-19 |
| 1518527977 | Papa's Farmacia Via Luzianna LLC | Pharmacy | 25831 Walker South Rd Ste 1, Denham Springs, LA 70726 | 2019-06-18 |
| 1265995807 | Michael Jacob Efferson | Counselor | 303 Veteran Blvd, Denham Springs, LA 70726 | 2019-04-10 |
| 1477031524 | Melissa Sepeda | Social Worker | 1110 South Range Ave, Denham Springs, LA 70726 | 2018-07-31 |
| 1215420633 | Tiffany Summers | Counselor | 30826 Linder Road, Denham Springs, LA 70726 | 2018-06-11 |
| 1588194377 | Kenneth Joseph Williams | Counselor | 26055 Burlwood Ave., Denham Springs, LA 70726 | 2017-06-14 |
| 1780130369 | Bonnie Pettyjohn | Counselor | 25560 Oak Hill Rd, Denham Springs, LA 70726 | 2016-09-01 |
| 1437520285 | Jacob Dent, Dds Juban Crossing Modern Dentistry A Professional Corpora | Dentist | 10129 Crossing Way, Ste 400, Denham Springs, LA 70726 | 2015-10-19 |
| Find all providers in zip 70726 | ||||
| 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 |
|---|---|---|---|---|
| 1801402433 | Hiv/aids Alliance for Region Two, Inc. | Clinic/Center | 30789 N Range Avenue, Denham Springs, LA 70726 | 2020-09-18 |
| 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 |
| 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 |
| 1306455456 | Council for Advancement of Social Service and Education | Clinic/Center | 2120 Bert Kouns Industrial Loop Ste K-l, Shreveport, LA 71118-3351 | 2020-07-24 |
| Find all providers with the same taxonomy | ||||
| City | DENHAM SPRINGS |
| Zip Code | 70726 |
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.