SOUTH BROAD COMMUNITY HEALTH
NPI 1760887905
Clinic/Center - Federally Qualified Health Center (FQHC) in New Orleans, LA

NPI Status: Active since October 30, 2014

Contact Information

3300 S. BROAD STREET
NEW ORLEANS, LA
ZIP 70125
Phone: (504) 575-3712
Fax: (504) 575-3691

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 19D2087002
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 11-13-2026

About SOUTH BROAD COMMUNITY HEALTH

This page provides the complete NPI Profile along with additional information for South Broad Community Health, a primary care provider established in New Orleans, Louisiana operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1760887905 assigned on October 2014. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as South Broad Community Health. The authorized official of this NPI record is Mark Keiser (President)

NPI
1760887905
Provider Legal Name
ACCESS HEALTH LOUISIANA
Other Organization Name
SOUTH BROAD COMMUNITY HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3300 S. BROAD STREET NEW ORLEANS, LA 70125
Location Phone
(504) 575-3712
Location Fax
(504) 575-3691
Mailing Address
2900 INDIANA AVE KENNER, LA 70065
Mailing Phone
(504) 575-3712
Mailing Fax
(504) 575-3691
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-30-2014
Last Update Date
08-19-2016
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A primary care provider (PCP) like South Broad Community Health sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License State
LA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARK KEISER

Authorized Official Title
PRESIDENT
Authorized Official Phone
(504) 575-3712

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
19D2087002
Facility Type
Federally Qualified Health Center
Certificate Effective Date
November 14, 2024
Certificate Expiration Date
November 13, 2026
Laboratory Director
KEVIN O. JOSEPH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to South Broad Community Health to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760887905
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271201681490
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 6 + 8 + 1 + 4 + 9 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1760887905 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760887905, enumerated in the NPI registry as an "organization" on October 30, 2014

The provider is located at 3300 S. Broad Street New Orleans, La 70125 and the phone number is (504) 575-3712

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

The provider's CLIA number is 19D2087002 for a "federally qualified health center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 30, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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