East Jefferson Community Health Center

NPI #1174664510 in River Ridge, Louisiana

Provider Information

NPI Number
1174664510
Entity Type
Organization
Organization Name
East Jefferson Community Health Center
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Feb 9, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
11312 JEFFERSON HWY
ZIP Code
70123-1709
Phone
(504) 464-0032

Authorized Official

Name
MS. PATRICIA ANN BOWMAN
Title
CO-CHAIR
Phone
(504) 464-0032

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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