NPI 1174664510

East Jefferson Community Health Center

Organisation Federally Qualified Health Center (FQHC) River Ridge, LA

Practice location

Address: 11312 Jefferson Hwy, River Ridge, LA 70123-1709
Phone: (504) 464-0032
Fax: (504) 466-3440

Authorised official

Name: Patricia Ann Bowman
Title: Co-Chair
Phone: (504) 464-0032

Registered specialties

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X Licence 80-001271 (LA)

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Registry record

NPI: 1174664510
Entity type: Organization
NPI issued: 9 Feb 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.