Jefferson Community Health Care Centers

NPI #1144520677 in Marrero, Louisiana

Provider Information

NPI Number: 1144520677
Entity Type: Organization
Organization Name: Jefferson Community Health Care Centers
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Nov 1, 2010
Last Updated: Nov 17, 2010

Practice Location

Address: 1855 AMES BLVD
City: Marrero
State: Louisiana
ZIP Code: 70072-3429
Phone: (504) 328-0488

Authorized Official

Name: MR. RANDOLPH J FISHER
Title: INTERIM CEO
Phone: (504) 328-0488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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