L.b. Landry Community Clinic | |
1200 L B Landry Ave New Orleans LA 70114-2657 | |
(504) 529-5558 | |
Not Available |
Full Name | L.b. Landry Community Clinic |
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Speciality | Clinic/Center |
Location | 1200 L B Landry Ave, New Orleans, Louisiana |
Authorized Official Name and Position | Donald T. Erwin (CEO) |
Authorized Official Contact | 5045295558 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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L.b. Landry Community Clinic 1936 Magazine St New Orleans LA 70130-5016 Ph: (504) 529-5558 | L.b. Landry Community Clinic 1200 L B Landry Ave New Orleans LA 70114-2657 Ph: (504) 529-5558 |
NPI Number | 1851784235 |
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Provider Enumeration Date | 03/10/2015 |
Last Update Date | 03/05/2020 |
Medicare PECOS PAC ID | 8527163211 |
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Medicare Enrollment ID | O20150714000355 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851784235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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