| |
3303 Higgins Blvd New Orleans LA 70126 | |
(504) 948-2873 | |
(504) 948-9292 |
Full Name | |
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Speciality | Clinic/Center |
Location | 3303 Higgins Blvd, New Orleans, Louisiana |
Authorized Official Name and Position | Michael Griffin (PRESIDENT/CEO) |
Authorized Official Contact | 5042129502 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 13038 New Orleans LA 70185-3038 Ph: (504) 948-2873 | 3303 Higgins Blvd New Orleans LA 70126 Ph: (504) 948-2873 |
NPI Number | 1386024891 |
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Provider Enumeration Date | 06/01/2015 |
Last Update Date | 11/22/2022 |
Medicare PECOS PAC ID | 3678755535 |
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Medicare Enrollment ID | O20160422001205 |
Identifier | Type | State | Issuer |
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1386024891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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