ALBERT CAMMON WELLNESS CENTER – NPI #1013239508
Clinic/Center

ALBERT CAMMON WELLNESS CENTER is an AHC clinic located in SAINT ROSE, LA. NPPES has assigned the NPI number 1013239508 to ALBERT CAMMON WELLNESS CENTER on February 24, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ALBERT CAMMON WELLNESS CENTER” is a dba name, the actual legal business name for this organization is ACCESS HEALTH LOUISIANA. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 10 years ago on Aug 05, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALBERT CAMMON WELLNESS CENTER below.

NPI Profile for
ACCESS HEALTH LOUISIANA

NPI Number
1013239508
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ACCESS HEALTH LOUISIANA
Doing Business As (dba): ALBERT CAMMON WELLNESS CENTER
Primary location
232 PIRATE DRIVE
SAINT ROSE, LA 70087
Phone: (985) 308-6101 Fax: (504) 575-3691
Mailing address
2900 INDIANA AVE
KENNER, LA 70065-4605
Phone: (504) 575-3712 Fax: (504) 575-3691
Organization Subpart
No
Authorized Official
MARK KEISER
PRESIDENT
Phone: (504) 575-3700
Updated
Identifiers

Identifiers for ALBERT CAMMON WELLNESS CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDLA2112317
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
208000000X
- Pediatrics		 LA
207QA0505X
- Family Medicine / Adult Medicine		 LA
101YM0800X
- Counselor / Mental Health		 LA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.