Provider Demographics
NPI:1033348081
Name:ST HELENA COMMUNITY HEALTH CENTER, INC
Entity Type:Organization
Organization Name:ST HELENA COMMUNITY HEALTH CENTER, INC
Other - Org Name:SOUTHEAST COMMUNITY HEALTH SYSTEMS - SUBSTANCE ABUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SENEGAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-225-6059
Mailing Address - Street 1:PO BOX 1207
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:LA
Mailing Address - Zip Code:70441-1207
Mailing Address - Country:US
Mailing Address - Phone:225-222-6059
Mailing Address - Fax:225-222-6543
Practice Address - Street 1:490 SITMAN ST.
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:LA
Practice Address - Zip Code:70441
Practice Address - Country:US
Practice Address - Phone:225-222-6059
Practice Address - Fax:225-222-6543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-13
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)