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EJCHC
NPI 1174664510
Clinic/Center - Federally Qualified Health Center (FQHC) in River Ridge, LA

Active since February 09, 2007
11312 JEFFERSON HWY, RIVER RIDGE, LA 70123(504) 464-0032(504) 466-3440 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ejchc NPPES

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

EJCHC (NPI 1174664510) is a healthcare organization registered as a federally qualified health center (fqhc) in River Ridge, Louisiana and active in the NPI registry since February 2007. The organization lists Patricia Ann Bowman, Co-chair, as its authorized official.

NPPES Registry Identity

NPI1174664510
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEAST JEFFERSON COMMUNITY HEALTH CENTER
Location Address11312 JEFFERSON HWYRiver Ridge, LA 70123-1709
Mailing Address11312 Jefferson HwyRiver Ridge, LA 70123-1709 · (504) 464-0032 · Fax (504) 466-3440
Phone(504) 464-0032
Fax(504) 466-3440
Organization SubpartNo
Authorized OfficialPatricia Ann BowmanCo-chair · (504) 464-0032
Enumeration DateFebruary 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174664510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in LA · 80-001271
11312 JEFFERSON HWY, River Ridge, LA 70123
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Other Names 1

Doing Business AsEjchc

Other Identifiers 1

Medicaid1947652LA

Other Providers at the Same Location NPPES 4

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

DR. RENETTA WALTERS ALLEN NP
Nurse Practitioner (Family)
11312 JEFFERSON HWY
RIVER RIDGE, LA 70123
Jefferson Parish (504) 463-3002
KEITH WILLIAM BLACKMAN MD
Preventive Medicine (Public Health & General Preventive Medicine)
11312 JEFFERSON HWY
RIVER RIDGE, LA 70123
Jefferson Parish (504) 464-0032
MS. MARITZA ELIZABETH SALGADO DNP, APRN, FNP
Nurse Practitioner (Family)
11312 JEFFERSON HWY
RIVER RIDGE, LA 70123
Jefferson Parish (504) 463-3002
DR. PHYLLIS RENEE JACKSON-WILLIAMS DDS
Dentist (General Practice)
11312 JEFFERSON HWY
RIVER RIDGE, LA 70123
Jefferson Parish (504) 463-5999

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 East Jefferson Community Health Center's NPI number?

The NPI number for East Jefferson Community Health Center is 1174664510. It was assigned to this organization in the NPPES registry on February 9, 2007. The provider is doing business as Ejchc.

Where is East Jefferson Community Health Center located?

East Jefferson Community Health Center is located at 11312 Jefferson Hwy, River Ridge, LA 70123. The listed phone number is (504) 464-0032.

What is East Jefferson Community Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for East Jefferson Community Health Center 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.