JEFFERSON COMMUNITY HEALTH CARE CENTERS INC


Address: 1855 Ames Blvd, Suite B, Marrero, LA 70072-3429
Phone: 5043718958

JEFFERSON COMMUNITY HEALTH CARE CENTERS INC (NPI# 1093759888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093759888
Entity Type Organization
Organization Name JEFFERSON COMMUNITY HEALTH CARE CENTERS INC
Practice Address 1855 Ames Blvd
Suite B
Marrero
LA 70072-3429
Practice Telephone 5043718958
Practice Fax Number 5043718963
Mailing Telephone 5043718958
Mailing Fax Number 5043718963
Enumeration Date 2006-06-15
Last Update Date 2008-04-20
Authorized Official Name MR. RICKEY VAUGHN (CFO)
Authorized Official Telephone 5043718958
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
LA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
LA 1454117 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1205470432 Jefferson Community Health Care Centers Inc Clinic/Center 7201 Lapalco Blvd, Marrero, LA 70072-4523 2019-10-31
1639321714 Jefferson Community Health Care Centers Inc Community/Behavioral Health 3211 Highway 1, Grand Isle, LA 70358 2008-10-21
1124000773 Jefferson Community Health Care Centers Inc General Practice 4028 Highway 90 W, Avondale, LA 70094-2622 2005-11-18
1255977245 Jefferson Community Health Care Centers Inc Pharmacy 3932 Highway 90 W, Avondale, LA 70094-2648 2019-11-25
1891831376 Jefferson Community Health Care Centers Inc Family Medicine 11312 Jefferson Hwy, River Ridge, LA 70123-1709 2007-01-30

Office Location

Street Address 1855 AMES BLVD
SUITE B
City MARRERO
State LA
Zip Code 70072-3429

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326400797 Jacquelyn Kellett Social Worker 1855 Ames Blvd, Marrero, LA 70072-3429 2016-03-24
1760800064 Jefferson Community Health Care Centers, Inc Clinic/Center 1855 Ames Blvd, Suite B, Marrero, LA 70072-3429 2014-04-03
1942628243 Jefferson Community Health Care Centers, Inc Clinic/Center 1855 Ames Blvd, Suite B, Marrero, LA 70072-3429 2014-04-03
1366871295 Kwynn Mason Dietitian, Registered 1855 Ames Blvd, Marrero, LA 70072-3429 2013-11-01
1558608745 Lisa Mary Anna Nelson Dietitian, Registered 1855 Ames Blvd, Marrero, LA 70072-3429 2013-01-09
1619225521 Leah Beatrice Wright Podiatrist 1855 Ames Blvd, Suite B, Marrero, LA 70072-3429 2012-08-27
1992067813 Leona Anderson Registered Nurse 1855 Ames Blvd, Marrero, LA 70072-3429 2012-06-15
1588958102 Sarah Hoffpauir Social Worker 1855 Ames Blvd, Marrero, LA 70072-3429 2011-05-31
1144520677 Jefferson Community Health Care Centers Clinic/Center 1855 Ames Blvd, Marrero, LA 70072-3429 2010-11-01
1659502987 Vonder W Mcneil Nurse Practitioner 1855 Ames Blvd, Suite B, Marrero, LA 70072-3429 2009-08-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780232579 Brittany Inez Young Technician 4465 Bay View Drive, Marrero, LA 70072 2019-08-27
1356829774 Zachary Allen Runge Kleinpeter Physician Assistant 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 2018-07-30
1689172611 Derron White Specialist 2324 Barataria Blvd, Marrero, LA 70072 2018-01-24
1477064616 Bone & Joint, LLC Physical Therapy Physical Therapist 4633 Wichers Dr., Marrero, LA 70072 2017-10-16
1477077410 Darlene Jenkins Case Manager/Care Coordinator 7606 Westbank Expy Ste B, Marrero, LA 70072 2017-08-01
1871017186 Tyra K Haynes Non-emergency Medical Transport (VAN) 536 Westwood Drive, Marrero, LA 70072 2017-07-28
1265961536 Danika Kayelle Frank Social Worker 6189 Boutte St, Marrero, LA 70072 2017-06-08
1528596673 Monica Cheree Mayberry Counselor 931 Westwood Dr., Marrero, LA 70072 2017-06-01
1710419197 Sharla Black Counselor 2069 Paine Drive, Marrero, LA 70072 2017-04-03
1699207043 Tango Austin Counselor 2573 Foliage Drive, Marrero, LA 70072 2017-04-03
Find all providers in zip 70072

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831729631 Access Health Louisiana Clinic/Center 2590 Barataria Blvd, Marrero, LA 70072-5304 2020-01-21
1205470432 Jefferson Community Health Care Centers Inc Clinic/Center 7201 Lapalco Blvd, Marrero, LA 70072-4523 2019-10-31
1992359772 Jeffcare Clinic/Center 5001 West Bank Expressway, Marrero, LA 70072-2954 2019-07-30
1265883904 Jefferson Community Health Care Centers, Inc Clinic/Center 7017 Lapalco Blvd, Marrero, LA 70072 2016-06-23
1811123664 Jefferson Community Health Care Centers, Inc Clinic/Center 1855 Ames Blvd Ste B, Marrero, LA 70072-3429 2009-06-08
1427419811 Priority Health Care Clinic/Center 4700 Wichers Dr, Suite 303, Marrero, LA 70072-3041 2016-03-11
1760800064 Jefferson Community Health Care Centers, Inc Clinic/Center 1855 Ames Blvd, Suite B, Marrero, LA 70072-3429 2014-04-03
1942628243 Jefferson Community Health Care Centers, Inc Clinic/Center 1855 Ames Blvd, Suite B, Marrero, LA 70072-3429 2014-04-03
1154747327 Jeffcare Clinic/Center 5001 Westbank Expy, Suite 100, Marrero, LA 70072-2954 2014-03-12
1760734156 John Ehret School Based Health Center Mental Health Services Clinic/Center 4300 Patriot St, Marrero, LA 70072-4305 2012-10-09
Find all providers in MARRERO

Competitor

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City MARRERO
Zip Code 70072

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Dataset Information

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.

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