institution
East Jefferson Community Health Center
Federally Qualified Health Center (FQHC) in River Ridge, Louisiana
NPI 1174664510

East Jefferson Community Health Center is a Federally Qualified Health Center (FQHC) based in River Ridge, LA and is specialized in Federally Qualified Health Center (FQHC). East Jefferson Community Health Center practices in River Ridge, LA. The NPI Number for East Jefferson Community Health Center is 1174664510 and holds a License No. 80-001271 (Louisiana).

The current practice location address for East Jefferson Community Health Center is 11312 Jefferson Hwy, River Ridge, LA and can be reached out via phone at 504-464-0032 and via fax at 504-466-3440.

Location: 11312 Jefferson Hwy, River Ridge, LA, 70123-1709
institution
Provider Profile Details
NPI Number
1174664510
Provider Name
East Jefferson Community Health Center
Credential
Provider Entity Type
Organization
Address
11312 Jefferson Hwy, River Ridge, LA, 70123-1709
Phone Number
504-464-0032
Fax Number
504-466-3440
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1947652 05 LA
institution
Provider Business Practice Location Address Details
Address
11312 Jefferson Hwy
City
State
Zip
70123-1709
Phone Number
504-464-0032
Fax Number
504-466-3440
person
Provider Business Mailing Address Details
Address
11312 Jefferson Hwy
City
State
Zip
70123-1709
Phone Number
504-464-0032
Fax Number
504-466-3440
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
80-001271 (Louisiana)
Definition
Definition to come...
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