CAPITOL CITY FAMILY HEALTH CENTER, INCORPORATED (NPI# 1235486226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235486226 |
Entity Type | Organization |
Organization Name | CAPITOL CITY FAMILY HEALTH CENTER, INCORPORATED |
Other Organization Name | CARESOUTH |
Practice Address |
904 Catalpa Street Donaldsonville LA 70346 |
Mailing Address |
Po Box 66156 Baton Rouge LA 70896-6156 |
Practice Telephone | 2252646800 |
Practice Fax Number | 2252646630 |
Mailing Telephone | 2256502000 |
Mailing Fax Number | 2256502099 |
Enumeration Date | 2012-08-08 |
Last Update Date | 2018-03-09 |
Authorized Official Name | KENYA L. NELSON (FRONT OFFICE/BILLING MANAGER) |
Authorized Official Telephone | 2256502000 |
Is Organization Subpart | Y |
Parent Organization Name | CAPITOL CITY FAMILY HEALTH CENTER, INCORPORATED |
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 | 2317733 | 05 |
Other Name | Type Code |
---|---|
CareSouth | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306470265 | Capitol City Family Health Center, Incorporated | Pharmacy | 3111 Florida Blvd Ste B, Baton Rouge, LA 70806-3774 | 2020-02-28 |
1063972966 | Capitol City Family Health Center, Incorporated | Pharmacy | 4852 Highway 19, Zachary, LA 70791-3530 | 2019-03-25 |
1407385958 | Capitol City Family Health Center, Incorporated | Clinic/Center | 4852 Highway 19 Ste A, Zachary, LA 70791-3530 | 2017-06-08 |
Street Address |
904 CATALPA STREET |
City | DONALDSONVILLE |
State | LA |
Zip Code | 70346 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023649845 | Willynette Green | Case Manager/Care Coordinator | 3113 Abend Church Rd, Donaldsonville, LA 70346 | 2020-01-30 |
1013448919 | Children's International, LLC | Clinic/Center | 419 Memorial Dr., Donaldsonville, LA 70346 | 2017-03-22 |
1912377060 | Angela Mitchell | Case Manager/Care Coordinator | 1305 E Bayou Rd, Apt 303, Donaldsonville, LA 70346 | 2015-10-01 |
1619294741 | Angela Danette Johnson-cantrelle | Social Worker | 704 Railroad Ave., Donaldsonville, LA 70346 | 2010-04-29 |
1184953440 | Leda Enterprises Inc. | Internal Medicine | 516 Hwy 1, Donaldsonville, LA 70346 | 2009-12-16 |
1326284555 | Adam Davis Reeves | Chiropractor | 108 Memorial Dr., Donaldsonville, LA 70346 | 2008-12-17 |
1881839876 | Total Care Medical Center of Southeast Louisiana, Inc. | Chiropractor | 108 Memorial Drive, Donaldsonville, LA 70346 | 2008-12-05 |
1417138751 | Devjani Lahiri-munir, A Professional Corporation | Optometrist | 309 Iberville St, Donaldsonville, LA 70346 | 2007-11-15 |
1053539239 | Dr. John P Harbour, D.d.s, M.s.d. | Dentist | 200 Railroad Avenue, Donaldsonville, LA 70346 | 2007-04-23 |
1912123415 | Donaldsonville Aarc Inc | Day Training, Developmentally Disabled Services | 1030 Clay Street, Donaldsonville, LA 70346 | 2007-04-17 |
Find all providers in zip 70346 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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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 | DONALDSONVILLE |
Zip Code | 70346 |
Please comment or provide details below to improve the information on CAPITOL CITY FAMILY HEALTH CENTER, INCORPORATED.
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.