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Access Health Louisiana — NPI 1407575822, Provencal, LA | NPI Central

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NPI 1407575822

OrganizationActive

Access Health Louisiana

NPI 1407575822 · Federally Qualified Health Center (FQHC) · Provencal, LA

Provider details

NPI number: 1407575822
Entity type: Organization
Primary specialty: Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Organization subpart: No
Authorized official: Mark Keiser, Ceo(504) 575-3700

Specialties & taxonomies

Federally Qualified Health Center (FQHC)Primary261QF0400X
Ambulatory Health Care Facilities

Practice location

132 Cherry St

Provencal, LA 71468

Phone: (866) 530-6111

Approximate (ZIP-level) locationGet directions

More LA providers

Mailing address

2900 Indiana Ave

Kenner, LA 70065-4605

Other names (DBA / former)

Doing business as: Provencal Elementary Sbhc

Registry dates

Enumerated: 2022-08-29
Last updated: 2022-08-29
Certified: 2022-08-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.