JEFFERSON COMMUNITY HEALTH CARE CENTERS INC (NPI# 1205470432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205470432 |
| Entity Type | Organization |
| Organization Name | JEFFERSON COMMUNITY HEALTH CARE CENTERS INC |
| Practice Address |
7201 Lapalco Blvd Marrero LA 70072-4523 |
| Mailing Address |
Po Box 2490 Marrero LA 70073-2490 |
| Practice Telephone | 5044378523 |
| Practice Fax Number | 5044363665 |
| Mailing Telephone | 5044378523 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |
| Authorized Official Name | WANDA ROSE (CFO) |
| Authorized Official Telephone | 5044378523 |
| 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 |
| Other Name | Type Code |
|---|---|
| InclusivCare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639321714 | Jefferson Community Health Care Centers Inc | Community/Behavioral Health | 3211 Highway 1, Grand Isle, LA 70358 | 2008-10-21 |
| 1093759888 | Jefferson Community Health Care Centers Inc | Clinic/Center | 1855 Ames Blvd, Suite B, Marrero, LA 70072-3429 | 2006-06-15 |
| 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 |
| Street Address |
7201 LAPALCO BLVD |
| City | MARRERO |
| State | LA |
| Zip Code | 70072-4523 |
| 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 Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831729631 | Access Health Louisiana | Clinic/Center | 2590 Barataria Blvd, Marrero, LA 70072-5304 | 2020-01-21 |
| 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 |
| 1093759888 | Jefferson Community Health Care Centers Inc | Clinic/Center | 1855 Ames Blvd, Suite B, Marrero, LA 70072-3429 | 2006-06-15 |
| 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 | ||||
Please comment or provide details below to improve the information on JEFFERSON COMMUNITY HEALTH CARE CENTERS INC.
| 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.