PRIORITY HEALTH CARE (NPI# 1609136563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609136563 |
| Entity Type | Organization |
| Organization Name | PRIORITY HEALTH CARE |
| Other Organization Name | MARRERO SITE |
| Practice Address |
4700 Wichers Dr # 304-305 Marrero LA 70072-3041 |
| Mailing Address |
4700 Wichers Dr Ste 306 Marrero LA 70072-3054 |
| Practice Telephone | 5043093262 |
| Practice Fax Number | 5043099307 |
| Mailing Telephone | 5043096522 |
| Mailing Fax Number | 5043096084 |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2018-09-26 |
| Authorized Official Name | MS. TAMARA BOUTTE (CEO) |
| Authorized Official Telephone | 5043096522 |
| Authorized Official Credential | MSW, MSHCM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2407627 | 05 |
| Other Name | Type Code |
|---|---|
| Marrero Site | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023571536 | Priority Health Care | Clinic/Center | 12a Westbank Expy Ste 101, Gretna, LA 70053-3659 | 2019-04-11 |
| 1952886715 | Priority Health Care | Community/Behavioral Health | 12a Westbank Expy Ste 100, Gretna, LA 70053-3659 | 2018-09-27 |
| 1538403993 | Priority Health Care | Exclusive Provider Organization | 2048 Midway Ave, Chesapeake, VA 23324-2849 | 2012-11-23 |
| 1841522711 | Priority Health Care | Case Management | 12a Westbank Expy Ste 111-112, Gretna, LA 70053-3659 | 2010-02-03 |
| 1346725108 | Priority Health Care | Pediatrics | 4700 Wichers Dr Ste 307, Marrero, LA 70072-3054 | 2018-09-27 |
| 1427419811 | Priority Health Care | Clinic/Center | 4700 Wichers Dr, Suite 303, Marrero, LA 70072-3041 | 2016-03-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | PRIORITY HEALTH CARE INC. | 120 Monument Cir, Indianapolis, Indiana 46204 |
| Street Address |
4700 WICHERS DR # 304-305 |
| City | MARRERO |
| State | LA |
| Zip Code | 70072-3041 |
| 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 |
| 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 |
| 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 |
| Find all providers in MARRERO | ||||
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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.