SOUTHEAST COMMUNITY HEALTH SYSTEMS (NPI# 1841647013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841647013 |
Entity Type | Organization |
Organization Name | SOUTHEAST COMMUNITY HEALTH SYSTEMS |
Practice Address |
125 W Tornado Dr Hammond LA 70401-1334 |
Mailing Address |
Po Box 770 Zachary LA 70791-0770 |
Practice Telephone | 2253062000 |
Mailing Telephone | 2253062000 |
Mailing Fax Number | 2256581282 |
Enumeration Date | 2016-05-18 |
Last Update Date | 2016-05-18 |
Authorized Official Name | DR. ALECIA CYPRIAN (CEO) |
Authorized Official Telephone | 2253062000 |
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 |
---|---|---|---|---|
1376062513 | Southeast Community Health Systems | Clinic/Center | 43052 Yokum Rd, Hammond, LA 70403-6351 | 2017-09-19 |
1194277806 | Southeast Community Health Systems | Clinic/Center | 501 Erwin Neil Way Hammond, Hammond, LA 70403 | 2016-10-28 |
1487105102 | Southeast Community Health Systems | Clinic/Center | 15649 Highway 440, Kentwood, LA 70444-6939 | 2016-10-18 |
1558812255 | Southeast Community Health Systems | Clinic/Center | 15841 Highway 440, Kentwood, LA 70444-6937 | 2016-10-18 |
1467903187 | Southeast Community Health Systems | Clinic/Center | 68495 Highway 1054, Kentwood, LA 70444-6911 | 2016-10-18 |
1912458639 | Southeast Community Health Systems | Clinic/Center | 72961 Highway 1061, Kentwood, LA 70444-5833 | 2016-10-18 |
1013468909 | Southeast Community Health Systems | Clinic/Center | 603 9th St, Kentwood, LA 70444-2317 | 2016-10-17 |
1306397328 | Southeast Community Health Systems | Clinic/Center | 1459 Service Rd, Kentwood, LA 70444-3013 | 2016-10-14 |
1649628397 | Southeast Community Health Systems | Clinic/Center | 77 Greensburg Street, Greensburg, LA 70441 | 2016-06-02 |
1053769794 | Southeast Community Health Systems | Clinic/Center | 25753 Walker Road South, Denham Springs, LA 70726 | 2016-06-02 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | SOUTHEAST COMMUNITY HEALTH SYSTEMS | 6351 Main St, Zachary, LA 70791-4038 |
Street Address |
125 W TORNADO DR |
City | HAMMOND |
State | LA |
Zip Code | 70401-1334 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245855659 | Tabita Hooper | Dentist | 2807 W Thomas, Hammond, LA 70401 | 2020-06-11 |
1689200826 | Thomas Michael Nedow | Specialist/Technologist | 500 W University Avenue, Hammond, LA 70401 | 2020-03-19 |
1861025041 | Jonte Bernard | Specialist/Technologist | 1150 N General Pershing, Hammond, LA 70401 | 2020-02-17 |
1275196156 | Monica Rome Thompson | Case Manager/Care Coordinator | 1312 N Morrison Blvd, Hammond, LA 70401 | 2019-04-17 |
1740752864 | Katelyn D Ennis | Case Manager/Care Coordinator | 1312 N. Morrison Blvd., Hammond, LA 70401 | 2018-12-31 |
1396215257 | Breyanna Johnson | Case Manager/Care Coordinator | 1312 North Morrison Blvd, Hammond, LA 70401 | 2018-12-04 |
1134695331 | Shanquel Antonet Mckay | Case Manager/Care Coordinator | 1312 N. Morrison Blvd, Hammond, LA 70401 | 2018-10-16 |
1598243412 | Brooke Lynn Boggs | Preventive Medicine | 800 North Hazel St., Hammond, LA 70401 | 2018-08-02 |
1811499197 | Ashley Daytora Cohn | Counselor | 15043 Woodstone Dr Apt 226, Hammond, LA 70401 | 2018-03-02 |
1790207645 | Angela D Dillon | Counselor | 12261 Patrina Ln, Hammond, LA 70401 | 2017-07-12 |
Find all providers in zip 70401 |
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 |
---|---|---|---|---|
1023642576 | Southlake Community Mental Health Center Inc. | Clinic/Center | 2250 173rd St Ste 111, Hammond, IN 46323-2074 | 2020-02-24 |
1376062513 | Southeast Community Health Systems | Clinic/Center | 43052 Yokum Rd, Hammond, LA 70403-6351 | 2017-09-19 |
1194277806 | Southeast Community Health Systems | Clinic/Center | 501 Erwin Neil Way Hammond, Hammond, LA 70403 | 2016-10-28 |
1568810794 | Southeast Community Health Systems | Clinic/Center | 1500 Phoenix Sq, Hammond, LA 70403-3954 | 2016-05-27 |
1790163715 | Access Health Louisiana | Clinic/Center | 42351 Phyllis Ann Dr, Hammond, LA 70403-1254 | 2015-05-11 |
1508297540 | Southlake Community Mental Health Center, Inc. | Clinic/Center | 527 State St, Hammond, IN 46320-1533 | 2013-12-02 |
1881946267 | Community Healthnet, Inc | Clinic/Center | 5927 Columbia Ave, Hammond, IN 46320-2611 | 2012-10-09 |
1366617367 | Southeast Community Health Systems | Clinic/Center | 30575 Old Baton Rouge Highway, Hammond, LA 70403 | 2008-04-30 |
1265080295 | Access Health Louisiana | Clinic/Center | 2545 Veterans Ave, Hammond, LA 70403-1513 | 2019-09-03 |
1700433596 | 219 Health Network Inc | Clinic/Center | 7217 Indianapolis Blvd, Hammond, IN 46324-2213 | 2019-08-26 |
Find all providers in HAMMOND |
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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.