JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC (NPI# 1467792713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467792713 |
| Entity Type | Organization |
| Organization Name | JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC |
| Other Organization Name | RFK - LAFITTE MEDICAL CLINIC |
| Practice Address |
5140 Church St Lafitte LA 70067-5256 |
| Practice Telephone | 5046893300 |
| Mailing Telephone | 5046893300 |
| Mailing Fax Number | 5046898223 |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2019-07-31 |
| Authorized Official Name | JOELLE M JESSIE SKINNER (BILLING SPECIALIST) |
| 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 |
| RFK - Lafitte Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265883904 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 7017 Lapalco Blvd, Marrero, LA 70072 | 2016-06-23 |
| 1407139074 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 300 4th St, Bridge City, LA 70094-3320 | 2011-09-21 |
| 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 |
| 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 |
5140 CHURCH ST |
| City | LAFITTE |
| State | LA |
| Zip Code | 70067-5256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356337778 | Quynh T Lu-lewis | Family Medicine | 5140 Church St, Suite 100, Lafitte, LA 70067-5256 | 2005-09-21 |
| 1528483849 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 5140 Church St, Lafitte, LA 70067-5256 | 2014-02-24 |
| 1467794511 | Elizabeth Ponder | Dentist | 5140 Church St, Lafitte, LA 70067-5256 | 2013-03-26 |
| 1831266162 | West Jefferson Physician Services | Family Medicine | 5140 Church St, Lafitte, LA 70067-5256 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992852636 | Tewelde's Lafitte Drugs | Pharmacist | 2695 Jean Lafitte Blvd, Lafitte, LA 70067 | 2007-01-04 |
| 1386276327 | Courtney Leigh Pellegrin | Specialist/Technologist | 533 Mathew St, Lafitte, LA 70067-5117 | 2020-02-07 |
| 1962921106 | Eric Giesemann | Emergency Medicine | 2529 Jean Lafitte Blvd, Lafitte, LA 70067-5203 | 2017-09-19 |
| 1326467622 | Jan W Johnson | Dietitian, Registered | 5278 Church St, Lafitte, LA 70067-5224 | 2014-04-15 |
| 1366851651 | Hilarie Frickey | Pharmacist | 5696 Jean Lafitte Blvd, Lafitte, LA 70067-5506 | 2014-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386276327 | Courtney Leigh Pellegrin | Specialist/Technologist | 533 Mathew St, Lafitte, LA 70067-5117 | 2020-02-07 |
| 1962921106 | Eric Giesemann | Emergency Medicine | 2529 Jean Lafitte Blvd, Lafitte, LA 70067-5203 | 2017-09-19 |
| 1366851651 | Hilarie Frickey | Pharmacist | 5696 Jean Lafitte Blvd, Lafitte, LA 70067-5506 | 2014-08-12 |
| 1326467622 | Jan W Johnson | Dietitian, Registered | 5278 Church St, Lafitte, LA 70067-5224 | 2014-04-15 |
| 1992852636 | Tewelde's Lafitte Drugs | Pharmacist | 2695 Jean Lafitte Blvd, Lafitte, LA 70067 | 2007-01-04 |
| 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 |
|---|---|---|---|---|
| 1528483849 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 5140 Church St, Lafitte, LA 70067-5256 | 2014-02-24 |
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| 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.