| Crescentcare Family Care Services Center | |
|
4640 S Carrollton Ave Suite 120 New Orleans LA 70119-6051 | |
| (504) 378-0427 | |
| (504) 378-7042 |
| Full Name | Crescentcare Family Care Services Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4640 S Carrollton Ave, New Orleans, Louisiana |
| Authorized Official Name and Position | Giovanna Pringle (REVENUE CYCLE DIRECTOR) |
| Authorized Official Contact | 5048212601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescentcare Family Care Services Center 1631 Elysian Fields Ave New Orleans LA 70117-8208 Ph: (504) 821-2601 | Crescentcare Family Care Services Center 4640 S Carrollton Ave Suite 120 New Orleans LA 70119-6051 Ph: (504) 378-0427 |
| NPI Number | 1356767719 |
|---|---|
| Provider Enumeration Date | 03/10/2014 |
| Last Update Date | 05/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356767719 | NPI | - | NPPES |
| 2366823 | Medicaid | LA | |
| 191916 | Other | LA | MEDICARE A |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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