| Baptist Community Health Services, Inc. | |
|
1616 Fats Domino Ave New Orleans LA 70117-2950 | |
| (504) 533-4999 | |
| Not Available |
| Full Name | Baptist Community Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1616 Fats Domino Ave, New Orleans, Louisiana |
| Authorized Official Name and Position | Jeremy Simmons (CEO) |
| Authorized Official Contact | 5045334999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Community Health Services, Inc. 4960 Saint Claude Ave New Orleans LA 70117-4258 Ph: (504) 704-5949 | Baptist Community Health Services, Inc. 1616 Fats Domino Ave New Orleans LA 70117-2950 Ph: (504) 533-4999 |
| NPI Number | 1003321597 |
|---|---|
| Provider Enumeration Date | 12/06/2017 |
| Last Update Date | 02/23/2023 |
| Medicare PECOS PAC ID | 2769611300 |
|---|---|
| Medicare Enrollment ID | O20171229001888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003321597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | LALCS31529 (Louisiana) | Primary |
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