JEFFERSON COMMUNITY HEALTH CARE CENTERS INC
NPI 1124000773
General Practice in Avondale, LA

Active since November 18, 2005
4028 HIGHWAY 90 W, AVONDALE, LA 70094(504) 436-2223(504) 436-2224 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jefferson Community Health Care Centers Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERSON COMMUNITY HEALTH CARE CENTERS INC (NPI 1124000773) is a healthcare organization registered as a general practice in Avondale, Louisiana and active in the NPI registry since November 2005. The organization lists Stacey Marie Lovell, Billing Office/credentialing, as its authorized official.

NPPES Registry Identity

NPI1124000773
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameJEFFERSON COMMUNITY HEALTH CARE CENTERS INC
Location Address4028 HIGHWAY 90 WAvondale, LA 70094-2622
Mailing Address4028 Highway 90 WAvondale, LA 70094-2622 · (504) 436-2223 · Fax (504) 436-2224
Fax(504) 436-2224
Organization SubpartNo
Authorized OfficialStacey Marie LovellBilling Office/credentialing · (504) 436-2223
Enumeration DateNovember 18, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1124000773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4028 HIGHWAY 90 W, Avondale, LA 70094

Other Identifiers 1

Medicaid1447196LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
4028 HIGHWAY 90 W
AVONDALE, LA 70094

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jefferson Community Health Care Centers Inc's NPI number?

The NPI number for Jefferson Community Health Care Centers Inc is 1124000773. It was assigned to this organization in the NPPES registry on November 18, 2005.

Where is Jefferson Community Health Care Centers Inc located?

Jefferson Community Health Care Centers Inc is located at 4028 Highway 90 W, Avondale, LA 70094. The listed phone number is (504) 436-2223.

What is Jefferson Community Health Care Centers Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jefferson Community Health Care Centers Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.