| Depaul Community Health Centers-audubon Gentilly School | |
|
4720 Painters St New Orleans LA 70122-5004 | |
| (504) 282-0089 | |
| (504) 282-0338 |
| Full Name | Depaul Community Health Centers-audubon Gentilly School |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4720 Painters St, New Orleans, Louisiana |
| Authorized Official Name and Position | Michael Griffin (PRESIDENT/CEO) |
| Authorized Official Contact | 5042073060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Depaul Community Health Centers-audubon Gentilly School Po Box 13038 New Orleans LA 70185-3038 Ph: (504) 207-3060 | Depaul Community Health Centers-audubon Gentilly School 4720 Painters St New Orleans LA 70122-5004 Ph: (504) 282-0089 |
| NPI Number | 1912549247 |
|---|---|
| Provider Enumeration Date | 10/08/2019 |
| Last Update Date | 11/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912549247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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