| Depaul Community Health Centers-harriet Tubman Charter School-2nd | |
|
2013 General Meyer Ave New Orleans LA 70114-1533 | |
| (504) 207-3060 | |
| Not Available |
| Full Name | Depaul Community Health Centers-harriet Tubman Charter School-2nd |
|---|---|
| Speciality | Clinic/Center |
| Location | 2013 General Meyer Ave, New Orleans, Louisiana |
| Authorized Official Name and Position | Michael Griffin (PRESIDENT/CEO) |
| Authorized Official Contact | 5042073060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Depaul Community Health Centers-harriet Tubman Charter School-2nd Po Box 13038 New Orleans LA 70185-3038 Ph: (150) 420-73059 | Depaul Community Health Centers-harriet Tubman Charter School-2nd 2013 General Meyer Ave New Orleans LA 70114-1533 Ph: (504) 207-3060 |
| NPI Number | 1003339003 |
|---|---|
| Provider Enumeration Date | 07/21/2017 |
| Last Update Date | 11/22/2022 |
| Medicare PECOS PAC ID | 3678755535 |
|---|---|
| Medicare Enrollment ID | O20200304002047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003339003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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