St Charles Chc - 1057 Paul Maillard
LBN: Access Health Louisiana
St Charles Chc - 1057 Paul Maillard is an health care organization with primary practice located at 1057 Paul Maillard Rd Suite 240, Luling LA 70070-4349. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nephrology, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Access Health Louisiana can be contacted via phone (985) 785-2045, or through Keiser, Mark via phone (504) 575-3700.
Contact Information
Primary practice address
1057 Paul Maillard Rd Suite 240
Luling LA 70070-4349
Phone: (985) 785-2045
Fax: (504) 575-3691
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD.04201R | Louisiana |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD.03945R | Louisiana |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1902214133 |
|---|---|
| LBN Legal business name | Access Health Louisiana |
| DBA Doing business as | St Charles Chc - 1057 Paul Maillard |
| Authorized official | Keiser, Mark |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 31st, 2014 |
| Last updated | Aug 8th, 2016 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902214133 | NPPES |
| Louisiana | MEDICAID | 2384457 |
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