SOUTHEAST COMMUNITY HEALTH SYSTEMS NPI 1023147113

Clinic/Center (Federally Qualified Health Center (FQHC)) in Greensburg, LA

About SOUTHEAST COMMUNITY HEALTH SYSTEMS

Southeast Community Health Systems is a provider in Greensburg, LA. The NPI number assigned to this provider is 1023147113. The practitioner's primary taxonomy code is Clinic/Center (261QF0400X). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Southeast Community Health Systems @ Greensburg.

NPI

1023147113

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameSOUTHEAST COMMUNITY HEALTH SYSTEMS
Provider Location Address490 SITMAN STREET GREENSBURG, LA 70441 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPOST OFFICE BOX 770 ZACHARY, LA 70791 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization NameSOUTHEAST COMMUNITY HEALTH SYSTEMS @ GREENSBURG Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeDoing Business As (3)
Enumeration Date03-05-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date03-06-2015 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code261QF0400X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationFederally Qualified Health Center (FQHC)

Business Address

SOUTHEAST COMMUNITY HEALTH SYSTEMS
490 SITMAN STREET
GREENSBURG, LA
ZIP 70441
Phone: (225) 222-6059
Fax: (225) 222-6543

Get Directions

Mailing Address

SOUTHEAST COMMUNITY HEALTH SYSTEMS
POST OFFICE BOX 770
ZACHARY, LA
ZIP 70791
Phone: (225) 222-6059
Fax: (888) 334-9386

Authorized Official

Authorized Official NameDR. ALECIA CYPRIAN Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleCEO
Authorized Official Phone(225) 306-2010

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1943207MEDICAID (05)LA
191820MEDICARE OSCAR/CERTIFICATION (06)LA

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356588354ALBANY DENTAL CLINIC
Organization
Family Medicine490 SITMAN STREET
GREENSBURG, LA 70441
(225) 222-6059
1356597249MS. DALE VALERIE HAASE LCSW
Individual
Social Worker (Clinical)490 SITMAN STREET
GREENSBURG, LA 70441
(225) 222-6059
1447445622MISS CHRISTY MICHELLE DENICOLA LCSW
Individual
Social Worker (Clinical)490 SITMAN STREET
GREENSBURG, LA 70441
(225) 222-6059
1558336370 CHERYL BALLARD MD
Individual
Family Medicine490 SITMAN STREET
GREENSBURG, LA 70441
(225) 222-6059
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