HIV/AIDS ALLIANCE FOR REGION TWO, INC. (NPI# 1801402433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801402433 |
| Entity Type | Organization |
| Organization Name | HIV/AIDS ALLIANCE FOR REGION TWO, INC. |
| Practice Address |
30789 N Range Avenue Denham Springs LA 70726 |
| Mailing Address |
4550 North Blvd Ste 250 Baton Rouge LA 70806-4013 |
| Practice Telephone | 2256556422 |
| Practice Fax Number | 2253415903 |
| Mailing Telephone | 2254241743 |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |
| Authorized Official Name | TIM YOUNG (CEO) |
| Authorized Official Telephone | 2254241800 |
| Is Organization Subpart | Y |
| Parent Organization Name | HIV/AIDS ALLIANCE FOR REGION TWO, INC. |
| 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 |
|---|---|
| Open Health Care Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437622743 | Hiv/aids Alliance for Region Two, Inc. | Clinic/Center | 2751 Wooddale Blvd, Baton Rouge, LA 70805-7567 | 2019-01-09 |
| 1437527900 | Hiv/aids Alliance for Region Two, Inc. | Clinic/Center | 3801 North Blvd, Baton Rouge, LA 70806-3825 | 2015-09-14 |
| 1891045761 | Hiv/aids Alliance for Region Two, Inc. | Case Management | 4550 North Blvd, 250, Baton Rouge, LA 70806-4013 | 2012-09-18 |
| Street Address |
30789 N RANGE AVENUE |
| City | DENHAM SPRINGS |
| State | LA |
| Zip Code | 70726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456231 | Jinci Strahan | Registered Nurse | 24495 La-16, Denham Springs, LA 70726 | 2020-08-05 |
| 1568085058 | Bailey Brumley | Case Manager/Care Coordinator | 106 Business Park Ave, Denham Springs, LA 70726 | 2020-05-19 |
| 1518527977 | Papa's Farmacia Via Luzianna LLC | Pharmacy | 25831 Walker South Rd Ste 1, Denham Springs, LA 70726 | 2019-06-18 |
| 1265995807 | Michael Jacob Efferson | Counselor | 303 Veteran Blvd, Denham Springs, LA 70726 | 2019-04-10 |
| 1477031524 | Melissa Sepeda | Social Worker | 1110 South Range Ave, Denham Springs, LA 70726 | 2018-07-31 |
| 1215420633 | Tiffany Summers | Counselor | 30826 Linder Road, Denham Springs, LA 70726 | 2018-06-11 |
| 1588194377 | Kenneth Joseph Williams | Counselor | 26055 Burlwood Ave., Denham Springs, LA 70726 | 2017-06-14 |
| 1780130369 | Bonnie Pettyjohn | Counselor | 25560 Oak Hill Rd, Denham Springs, LA 70726 | 2016-09-01 |
| 1053769794 | Southeast Community Health Systems | Clinic/Center | 25753 Walker Road South, Denham Springs, LA 70726 | 2016-06-02 |
| 1437520285 | Jacob Dent, Dds Juban Crossing Modern Dentistry A Professional Corpora | Dentist | 10129 Crossing Way, Ste 400, Denham Springs, LA 70726 | 2015-10-19 |
| Find all providers in zip 70726 | ||||
| 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 |
|---|---|---|---|---|
| 1053769794 | Southeast Community Health Systems | Clinic/Center | 25753 Walker Road South, Denham Springs, LA 70726 | 2016-06-02 |
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| 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 |
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| 1306455456 | Council for Advancement of Social Service and Education | Clinic/Center | 2120 Bert Kouns Industrial Loop Ste K-l, Shreveport, LA 71118-3351 | 2020-07-24 |
| Find all providers with the same taxonomy | ||||
| City | DENHAM SPRINGS |
| Zip Code | 70726 |
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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.