Organization Name: | CAPITOL CITY FAMILY HEALTH CENTER, INC. |
NPI Number: | 1235486226 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENYA L. NELSON (FRONT OFFICE/BILLING MANAGER) |
Mailing Address: | 904 Catalpa Street Donaldsonville |
State: | LA US |
Postal Code: | 70346 |
Phone Number: | 2252646800 |
Fax Number: | 2252646630 |
NPI Enumeration Date: | 08/08/2012 |
NPI Last Update Date: | 05/31/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |