Depaul Community Health Centers-st. Charles | |
1523 St. Charles Avenue New Orleans LA 70130 | |
(504) 207-3060 | |
Not Available |
Full Name | Depaul Community Health Centers-st. Charles |
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Speciality | Clinic/Center |
Location | 1523 St. Charles Avenue, 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 |
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Depaul Community Health Centers-st. Charles Po Box 13038 New Orleans LA 70185-3038 Ph: (504) 207-3060 | Depaul Community Health Centers-st. Charles 1523 St. Charles Avenue New Orleans LA 70130 Ph: (504) 207-3060 |
NPI Number | 1740949155 |
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Provider Enumeration Date | 12/13/2021 |
Last Update Date | 11/22/2022 |
Medicare PECOS PAC ID | 3678755535 |
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Medicare Enrollment ID | O20240611000274 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740949155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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