ST CHARLES COMMUNITY HEALTH CENTER, DESTREHAN
NPI 1326342064
Family Medicine in Luling, LA

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since January 10, 2011CLIA 19D1003537 · Waiver

843 MILLING AVE, LULING, LA 70070(985) 785-5800(985) 785-5811 Get Directions Write a Review

NPPES record last updated: August 6, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About St Charles Community Health Center, Destrehan NPPES

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

ST CHARLES COMMUNITY HEALTH CENTER, DESTREHAN (NPI 1326342064) is a healthcare organization registered as a family medicine in Luling, Louisiana and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through September 3, 2026 and lists Trenton Bussey, Cfo, as its authorized official.

NPPES Registry Identity

NPI1326342064

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameACCESS HEALTH LOUISIANA

Location Address843 MILLING AVELuling, LA 70070-4442

Mailing Address843 Milling AveLuling, LA 70070-4442 · (985) 785-5800 · Fax (985) 785-5811

Phone(985) 785-5800

Fax(985) 785-5811

Organization SubpartNo

Authorized OfficialTrenton BusseyCfo · (985) 785-5800

Enumeration DateJanuary 10, 2011

Last NPPES UpdateAugust 6, 2012

✔ NPI 1326342064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in LA · MD04201R

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License MD.04201R (LA)

Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License MD.03945R (LA)

843 MILLING AVE, Luling, LA 70070

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Other Names 1

Doing Business AsSt Charles Community Health Center, Destrehan

Other Identifiers 1

Medicaid2156501LA

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D1003537

St Charles Community Health Center · Luling, LA

Active · expires Sep 3, 2026

CLIA Number19D1003537

Laboratory TypeCommunity Clinic

Certificate Effective DateSeptember 4, 2024

Certificate Expiration DateSeptember 3, 2026

Laboratory DirectorMark F. Keiser

Laboratory Phone(985) 785-5800

Laboratory LocationSt Charles Community Health Center843 Milling Ave, Luling, LA 70070

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

BAHRAM SADEGHPOUR M.D.

Specialist