| |
1200 L B Landry Ave New Orleans LA 70114-2657 | |
(504) 308-3550 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Community Health |
Location | 1200 L B Landry Ave, New Orleans, Louisiana |
Authorized Official Name and Position | Roxane A. Townsend (INTERIM CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5049034907 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2021 Perdido St New Orleans LA 70112-1352 Ph: (504) 903-5153 | 1200 L B Landry Ave New Orleans LA 70114-2657 Ph: (504) 308-3550 |
NPI Number | 1689977589 |
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Provider Enumeration Date | 12/15/2010 |
Last Update Date | 07/08/2011 |
Identifier | Type | State | Issuer |
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1689977589 | NPI | - | NPPES |
2132342 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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