| Marillac Community Health Centers | |
|
1629 Westbank Expy Harvey LA 70058-4363 | |
| (504) 367-8777 | |
| (504) 367-0133 |
| Full Name | Marillac Community Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 1629 Westbank Expy, Harvey, Louisiana |
| Authorized Official Name and Position | Tanyelle Oatis-gaskew (LEAD CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5044129546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marillac Community Health Centers Po Box 13038 New Orleans LA 70185-3038 Ph: (504) 207-3060 | Marillac Community Health Centers 1629 Westbank Expy Harvey LA 70058-4363 Ph: (504) 367-8777 |
| NPI Number | 1720512247 |
|---|---|
| Provider Enumeration Date | 04/12/2017 |
| Last Update Date | 03/21/2023 |
| Medicare PECOS PAC ID | 3678755535 |
|---|---|
| Medicare Enrollment ID | O20170523002396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720512247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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