| Crescentcare | |
|
2515 Canal St New Orleans LA 70119-6435 | |
| (504) 821-2601 | |
| (888) 736-9806 |
| Full Name | Crescentcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 2515 Canal St, New Orleans, Louisiana |
| Authorized Official Name and Position | Alice Riener (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5048212601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescentcare 1631 Elysian Fields Ave New Orleans LA 70117-8208 Ph: (504) 821-2601 | Crescentcare 2515 Canal St New Orleans LA 70119-6435 Ph: (504) 821-2601 |
| NPI Number | 1689081648 |
|---|---|
| Provider Enumeration Date | 07/22/2014 |
| Last Update Date | 04/17/2026 |
| Certification Date | 04/17/2026 |
| Medicare PECOS PAC ID | 2163514100 |
|---|---|
| Medicare Enrollment ID | O20140909000737 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689081648 | NPI | - | NPPES |
| 2373251 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
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