JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC (NPI# 1407139074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407139074 |
| Entity Type | Organization |
| Organization Name | JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC |
| Practice Address |
300 4th St Bridge City LA 70094-3320 |
| Mailing Address |
Po Box 2490 Marrero LA 70073-2490 |
| Practice Telephone | 5047628900 |
| Practice Fax Number | 5043280899 |
| Mailing Telephone | 5047628900 |
| Mailing Fax Number | 5043280899 |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |
| Authorized Official Name | MS. YAKIMA BLACK (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5047628925 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1558419275 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 4028 U S Highway 90, Avondale, LA 70094 | 2007-01-08 |
| 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 |
| 1528483849 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 5140 Church St, Lafitte, LA 70067-5256 | 2014-02-24 |
| 1467792713 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 5140 Church St, Lafitte, LA 70067-5256 | 2013-02-25 |
| 1891052254 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 2200 8th St, Harvey, LA 70058-4006 | 2012-04-23 |
| 1306103825 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 240 Riverdale Dr, New Orleans, LA 70121-3507 | 2012-04-20 |
| 1447517032 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 4300 Patriot St, Marrero, LA 70072-4305 | 2012-04-19 |
| Street Address |
300 4TH ST |
| City | BRIDGE CITY |
| State | LA |
| Zip Code | 70094-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326549593 | Jesucare Transportation Services | Non-emergency Medical Transport (VAN) | 1409 West Dr #b, Westwego, LA 70094 | 2018-02-23 |
| 1861921157 | Jelessa Penn | Specialist/Technologist | 43 Lucille St., Waggaman, LA 70094 | 2017-06-08 |
| 1538691035 | Raqual Badeaux | Case Manager/Care Coordinator | 705 Chipley St, Westwego, LA 70094 | 2017-04-03 |
| 1316486905 | Hong Tran | Pharmacist | 173 June Dr., Avondale, LA 70094 | 2017-02-16 |
| 1114466703 | Dwayne M Hawkins | Counselor | 321 Georgetown Dr., Avondale, LA 70094 | 2017-02-16 |
| 1568912251 | Keyanna Adams | Case Manager/Care Coordinator | 41 Clifford Ct, Westwego, LA 70094 | 2016-10-06 |
| 1669838074 | Joann Blair | Counselor | 251 Laroussini St, Westwego, LA 70094 | 2016-01-14 |
| 1538524699 | Chevella Austin | Counselor | 269 Glendella Dr, Avondale, LA 70094 | 2015-12-16 |
| 1164895025 | Tiffeny Haynes | Case Manager/Care Coordinator | 104 Dillard Dr, Westwego, LA 70094 | 2015-11-01 |
| 1952710766 | Thien Nguyen | Dentist | 125 Poplar St., Westwego, LA 70094 | 2014-08-06 |
| Find all providers in zip 70094 | ||||
| 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 |
|---|---|---|---|---|
| 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 | BRIDGE CITY |
| Zip Code | 70094 |
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.