Provider Demographics
NPI:1992093132
Name:HEALTH CARE CENTERS IN SCHOOLS
Entity type:Organization
Organization Name:HEALTH CARE CENTERS IN SCHOOLS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:LIVELY
Authorized Official - Suffix:
Authorized Official - Credentials:FHFMA
Authorized Official - Phone:225-343-9505
Mailing Address - Street 1:PO BOX 64749
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70896-4749
Mailing Address - Country:US
Mailing Address - Phone:225-343-9505
Mailing Address - Fax:225-343-9141
Practice Address - Street 1:10650 AVENUE F
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70807-2501
Practice Address - Country:US
Practice Address - Phone:225-775-6845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-20
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261Q00000X
LA261QS1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health