| Crescentcare Loyola Avenue | |
|
701 Loyola Ave Suite 104 New Orleans LA 70113-1912 | |
| (504) 821-2601 | |
| (504) 267-3014 |
| Full Name | Crescentcare Loyola Avenue |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 701 Loyola Ave, New Orleans, Louisiana |
| Authorized Official Name and Position | Katharine S Stpaul (DELEGATED OFFICIAL) |
| Authorized Official Contact | 5044509778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescentcare Loyola Avenue 2601 Tulane Ave Suite 500 New Orleans LA 70119-7462 Ph: (504) 821-2601 | Crescentcare Loyola Avenue 701 Loyola Ave Suite 104 New Orleans LA 70113-1912 Ph: (504) 821-2601 |
| NPI Number | 1609309335 |
|---|---|
| Provider Enumeration Date | 04/10/2017 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609309335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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